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ROYAL PHARMACY
CH05847J COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
PrimaryOne Health 1751 Alum Creek Drive
Type
HRSA-Funded Health Center
340B ID
CH05847J
Entity Address
1751 Alum Creek Dr.
Columbus, OH 43207-1708
Grant Number
H80CS00118
Participating Start Date
4/1/2013
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
ROYAL PHARMACY
Pharmacy Address
2575 S. HAMILTON RD
COLUMBUS, OH 43232-4964
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Charleta B. Tavares, CEO
(614) 859-1880
Contract Pharmacy Representative
Royal Pharmacy
Eric Obeng, President
(614) 547-0707
Signed By Date
1/16/2024
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