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NORTHSIDE CAMBRIDGE PHARMACY
CH053763E MUSKINGUM VALLEY HEALTH CENTERS
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Covered Entity Details
Entity Name
MUSKINGUM VALLEY HEALTH CENTERS
Subdivision Name
Muskingum Valley Health Center - Cambridge
Type
HRSA-Funded Health Center
340B ID
CH053763E
Entity Address
1330 Clark Street
Cambridge, OH 43725-9614
Grant Number
H80CS08783
Participating Start Date
7/1/2016
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
NORTHSIDE CAMBRIDGE PHARMACY
Pharmacy Address
1330 CLARK ST
STE 1100
CAMBRIDGE, OH 43725-9614
Pharmacy Comments
Contract Details
Approval Date
10/4/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
DAN J ATKINSON, CEO
(740) 891-9090
Contract Pharmacy Representative
Rod Stickrath, Director
(740) 454-5666 Ext: 7014
Signed By Date
10/4/2016
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