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STEWART'S PHARMACY
CH05099I HEALTHSOURCE OF OHIO, INC.
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Covered Entity Details
Entity Name
HEALTHSOURCE OF OHIO, INC.
Subdivision Name
HealthSource Hillsboro
Type
HRSA-Funded Health Center
340B ID
CH05099I
Entity Address
1108 Northview Dr
Hillsboro, OH 45133-1184
Grant Number
H80CS00201
Participating Start Date
1/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
STEWART'S PHARMACY
Pharmacy Address
ARNOLD'S APOTHECARY INC DBA
1013 JEFFERSON ST
GREENFIELD, OH 45123
Pharmacy Comments
Contract Details
Approval Date
9/20/2011
Contract Begin Date
9/20/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
William Marois, CFO
(513) 576-7700
Contract Pharmacy Representative
David Arnold, President
(937) 981-3245
Signed By Date
7/29/2011
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