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CHARITABLE PHARMACY OF CENTRAL OHIO, INC.
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
CHARITABLE PHARMACY OF CENTRAL OHIO, INC.
Pharmacy Address
200 LIVINGSTON AVENUE
COLUMBUS, OH 43215-5715
Pharmacy Comments
Contract Details
Approval Date
11/15/2012
Contract Begin Date
11/15/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/25/2016
Agreement registered in error
Contacts
Covered Entity Signing Official
Dana S. Vallangeon, CEO
(614) 274-1455 Ext: 300
Contract Pharmacy Representative
Allan Zaenger, Executive Director
(614) 781-6500
Signed By Date
9/20/2012
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