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HURSH DRUG INC
CH05711L THIRD STREET COMMUNITY CLINIC
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Covered Entity Details
Entity Name
THIRD STREET COMMUNITY CLINIC
Subdivision Name
Bucyrus Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH05711L
Entity Address
2458 Stetzer Rd
Unit A
Bucyrus, OH 44820-2066
Grant Number
H80CS00581
Participating Start Date
4/1/2020
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
HURSH DRUG INC
Pharmacy Address
90 N DIAMOND ST
MANSFIELD, OH 44902-1325
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
Hursh Drugs Inc.
Brittany Lee Poehler, President
(419) 524-0521
Signed By Date
1/11/2024
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