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GAHMS PHARMACY
CH05290E COMMUNITY ACTION COMMITTEE OF PIKE COUNTY, THE
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Covered Entity Details
Entity Name
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY, THE
Subdivision Name
WEST PORTSMOUTH FAMILY PRACTICE
Type
HRSA-Funded Health Center
340B ID
CH05290E
Entity Address
23030 STATE ROUTE 73
PORTSMOUTH, OH 45663-8861
Grant Number
H80CS00399
Participating Start Date
11/7/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
GAHMS PHARMACY
Pharmacy Address
50A CENTER ST
LUCASVILLE, OH 45648
Pharmacy Comments
Contract Details
Approval Date
10/8/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Keith Pitts, President and Chief Executive Officer
(216) 770-3409 Ext: 7009
Contract Pharmacy Representative
Gahm's Pharmacy, Inc.
Troy Gahm, President
(740) 259-2442
Signed By Date
10/8/2024
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