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OHIO CVS STORES, L.L.C.
CH051831G HEART OF OHIO FAMILY HEALTH CENTERS
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Covered Entity Details
Entity Name
HEART OF OHIO FAMILY HEALTH CENTERS
Subdivision Name
Heart of Ohio Family Health OB-GYN at St. Ann's
Type
HRSA-Funded Health Center
340B ID
CH051831G
Entity Address
495 Cooper Rd STE 420
Westerville, OH 43081-8723
Grant Number
H80CS07897
Participating Start Date
4/1/2023
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06946
4548 E. MAIN ST.
WHITEHALL, OH 43213
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
M Buhari Mohammed, CEO
(614) 338-6818 Ext: 1118
Contract Pharmacy Representative
Heart of Ohio Family Health
Alexandra Zeleski, Director of Pharmacy
(614) 235-5555 Ext: 1136
Signed By Date
10/15/2024
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