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OHIO CVS STORES, L.L.C.
CH050920 NEIGHBORHOOD HEALTH CARE INCORPORATED
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Subdivision Name
Ridge Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH050920
Entity Address
3569 Ridge Rd
Cleveland, OH 44102-5443
Grant Number
H80CS00665
Participating Start Date
10/1/1997
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04282
3728 PEARL RD
CLEVELAND, OH 44109
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
JEAN POLSTER, PRESIDENT, CEO
(216) 281-0872 Ext: 1261
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2017
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