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TWC PHARMACY AND WELLNESS CENTER LLC
CHC12886-01 LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
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Covered Entity Details
Entity Name
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC
Subdivision Name
The Nursing Center for Family Health
Type
HRSA-Funded Health Center
340B ID
CHC12886-01
Entity Address
777 W State St STE 201
Columbus, OH 43222-1523
Grant Number
H80CS12886
Participating Start Date
10/1/2013
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
TWC PHARMACY AND WELLNESS CENTER LLC
Pharmacy Address
273A W SCHROCK RD
WESTERVILLE, OH 43081
Pharmacy Comments
Contract Details
Approval Date
10/10/2013
Contract Begin Date
1/1/2014
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
Laura Atkinson, President/CEO
(614) 414-0249
Signed By Date
10/10/2013
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