340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OHIO CVS STORES, L.L.C.
CHC29021-00 FAMILY HEALTH CARE OF NORTHWEST OHIO, INC.
Print
Covered Entity Details
Entity Name
FAMILY HEALTH CARE OF NORTHWEST OHIO, INC.
Subdivision Name
Family Health Care of Northwest Ohio, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC29021-00
Entity Address
1191 Westwood Drive
Van Wert, OH 45891
Grant Number
H80CS29021
Participating Start Date
4/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03312
703 W ERVIN ST
VAN WERT, OH 45891
Pharmacy Comments
Contract Details
Approval Date
2/25/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer L Smith, CEO
(419) 238-6747 Ext: 103
Contract Pharmacy Representative
CVS Health
Jaclyn Parfitt, 340B Operations Manager
(401) 770-6467
Signed By Date
2/25/2016
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