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NEWARK RX LLC
CHC12886-00 LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
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Covered Entity Details
Entity Name
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
Subdivision Name
Lower Lights Christian Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12886-00
Entity Address
1160 W Broad St
Columbus, OH 43222-1317
Grant Number
H80CS12886
Participating Start Date
1/1/2011
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
NEWARK RX LLC
Pharmacy Address
D.B.A NEWARK PHARMACY
57 W MAIN ST
NEWARK, OH 43055
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tracy Cloud, CEO
(614) 274-1455 Ext: 6000
Contract Pharmacy Representative
Newark Rx L.L.C. dba Newark Pharmacy
D.J. Patel, Owner
(201) 744-0107
Signed By Date
4/10/2024
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