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CAMERON MEDICAL OUTREACH
STD46703 STD Outreach Clinic of Steuben County
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Covered Entity Details
Entity Name
STD Outreach Clinic of Steuben County
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD46703
Entity Address
317 South Wayne Street
1B
Angola, IN 46703
Grant Number
NH25PS005139
Participating Start Date
10/1/2023
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
CAMERON MEDICAL OUTREACH
Pharmacy Address
DBA CAMERON RETAIL PHARMACY
306 E MAUMEE ST STE 106
ANGOLA, IN 46703-2038
Pharmacy Comments
Contract Details
Approval Date
4/8/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mickinna Lothamer, RN
(260) 668-1000 Ext: 1570
Contract Pharmacy Representative
Cameron Memorial Community Hospital, Inc.
Jonathan Crabill, Pharmacy Director
(260) 667-5427
Signed By Date
4/8/2024
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