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OHIO CVS STORES, L.L.C.
CH05711M THIRD STREET COMMUNITY CLINIC
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Covered Entity Details
Entity Name
THIRD STREET COMMUNITY CLINIC
Subdivision Name
Ashland Health and Wellness
Type
HRSA-Funded Health Center
340B ID
CH05711M
Entity Address
309 Arthur Street
Ashland, OH 44805
Grant Number
H80CS00581
Participating Start Date
3/18/2020
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06169
1411 LEXINGTON AVENUE
MANSFIELD, OH 44907
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peggy Anderson, CEO
(419) 526-7880
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/11/2024
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