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MARC'S VARIETY STORE INC
CH050920 NEIGHBORHOOD HEALTH CARE INCORPORATED
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Subdivision Name
Ridge Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH050920
Entity Address
3569 Ridge Rd
Cleveland, OH 44102-5443
Grant Number
H80CS00665
Participating Start Date
10/1/1997
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
MARC'S VARIETY STORE INC
Pharmacy Address
DBA MARC'S PHARMACY
17400 LORAIN AVE
CLEVELAND, OH 44111
Pharmacy Comments
Contract Details
Approval Date
10/9/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James E. Massey, Chief Financial Officer
(216) 281-0872 Ext: 230
Contract Pharmacy Representative
Melenie Petropoulos, VP Of Pharmacy
(216) 265-7700
Signed By Date
10/9/2015
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