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OHIO CVS STORES, L.L.C.
CHC11332-08 Community Health Centers of Greater Dayton
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Covered Entity Details
Entity Name
Community Health Centers of Greater Dayton
Subdivision Name
Community Health Centers of Greater Dayton - Chambersburg Health Center
Type
HRSA-Funded Health Center
340B ID
CHC11332-08
Entity Address
6255 Chambersburg Rd
Huber Heights, OH 45424-3873
Grant Number
H80CS12882
Participating Start Date
4/1/2022
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03461
3920 LINDEN AVE.
DAYTON, OH 45432
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GREGORY HOPKINS, EXECUTIVE DIRECTOR
(937) 586-9733 Ext: 1023
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/12/2024
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