340B Drug Pricing Program Database

Pharmacy Name

CHARITABLE PHARMACY OF CENTRAL OHIO, INC.

Pharmacy Address

200 LIVINGSTON AVENUE
COLUMBUS, OH 43215-5715

Pharmacy Comments

Approval Date

8/14/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/25/2016
Agreement registered in error

Covered Entity Signing Official


Contract Pharmacy Representative

Allan Zaenger, Executive Director
(614) 781-6500

Signed By Date