340B Drug Pricing Program Database

Pharmacy Name

CHARITABLE PHARMACY OF CENTRAL OHIO

Pharmacy Address

1160 W BROAD ST
COLUMBUS, OH 43222

Pharmacy Comments

Approval Date

5/23/2013

Contract Begin Date

7/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/17/2018
Ownership change

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

4/30/2013