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OHIO CVS STORES, L.L.C.
CHC26575-00 Community Health & Wellness Partners of Logan County
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Covered Entity Details
Entity Name
Community Health & Wellness Partners of Logan County
Subdivision Name
West Liberty Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26575-00
Entity Address
4879 US Route 68 South
West Liberty, OH 43357-1123
Grant Number
H80CS26575
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03481
969 WEST 5TH STREET
MARYSVILLE, OH 43040
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tara Bair, President/CEO
(937) 599-1411 Ext: 250
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2024
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