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DISCOUNT DRUG MART #37
FQHCLA275 FAMILY HEALTH SERVICES OF ERIE COUNTY
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Covered Entity Details
Entity Name
FAMILY HEALTH SERVICES OF ERIE COUNTY
Subdivision Name
Type
Health Center Program Look-Alike
340B ID
FQHCLA275
Entity Address
1912 HAYES AVENUE
SANDUSKY, OH 44870
Grant Number
LALCS00098
Participating Start Date
4/1/2011
Last Recertification Date
2/16/2015
Entity Termination Date
10/1/2015
Pharmacy Details
Pharmacy Name
DISCOUNT DRUG MART #37
Pharmacy Address
84 WHITTLESEY AVE
NORWALK, OH 44857
Pharmacy Comments
Contract Details
Approval Date
7/29/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Wilson Forney, Chief Executive Officer
(419) 502-2818
Contract Pharmacy Representative
Pete Ratycz, VP of Pharmacy
(330) 725-2340 Ext: 84411
Signed By Date
7/29/2015
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