340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OHIO CVS STORES, L.L.C.
CH051660 IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Print
Covered Entity Details
Entity Name
IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Subdivision Name
IRONTON FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH051660
Entity Address
304 N 2ND ST
IRONTON, OH 45638-1491
Grant Number
H80CS00471
Participating Start Date
10/1/1996
Last Recertification Date
1/31/2017
Entity Termination Date
4/1/2017
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03474
320 JEFFERSON STREET
IRONTON, OH 45638
Pharmacy Comments
Contract Details
Approval Date
10/20/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Contacts
Covered Entity Signing Official
Kelly Adkins, Chief Financial Officer
(740) 532-3534 Ext: 12004
Contract Pharmacy Representative
CVS Health
Jaclyn Parfitt, 340B Operations Manager
(401) 770-6467
Signed By Date
10/20/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session