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RAINA RX LLC
CH052270 Hopewell Health Centers, Inc.
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Covered Entity Details
Entity Name
Hopewell Health Centers, Inc.
Subdivision Name
Hopewell Health Centers - Chillicothe
Type
HRSA-Funded Health Center
340B ID
CH052270
Entity Address
1049 WESTERN AVENUE
CHILLICOTHE, OH 45601
Grant Number
H80CS00193
Participating Start Date
4/1/1996
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
RAINA RX LLC
Pharmacy Address
DBA ROUTE 300 PHARMACY
1208 ROUTE 300
SUITE 103
NEWBURGH, NY 12550
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/30/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Bridenbaugh, Chief Executive Officer
(740) 773-1006 Ext: 2004
Contract Pharmacy Representative
CarepathRx Health System Solution
Ryan Rushing, Vice President, 340B Solutions
(512) 541-0665
Signed By Date
10/13/2017
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