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OHIO CVS PHARMACY, L.L.C.
FQHCLA418 COMPASSION HEALTH TOLEDO
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Covered Entity Details
Entity Name
COMPASSION HEALTH TOLEDO
Subdivision Name
Compassion Health Toledo - Broadway
Type
Health Center Program Look-Alike
340B ID
FQHCLA418
Entity Address
1638 Broadway Street
Toledo, OH 43609-3240
Grant Number
LALCS40185
Participating Start Date
4/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OHIO CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #10457
7510 SYLVANIA AVENUE
SYLVANIA, OH 43560
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anne Ruch, Executive Director
(419) 304-6480
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2024
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