Contract Pharmacy Details

EXACT CARE PHARMACY, LLC
CHC30718-02 SIGNATURE HEALTH, INC.

Covered Entity Details

Entity Name

SIGNATURE HEALTH, INC.

Subdivision Name

Signature Health, Inc. Willoughby Clinic

Type

HRSA-Funded Health Center

340B ID

CHC30718-02

Entity Address

38882 Mentor Avenue
Willoughby, OH 44094-7875

Grant Number

H80CS30718

Participating Start Date

4/1/2017

Last Recertification Date

2/11/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

EXACT CARE PHARMACY, LLC

Pharmacy Address

8333 ROCKSIDE RD
CLEVELAND, OH 44125

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

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Jonathan Albert Lee, CEO
(440) 953-9999 Ext: 705133

Contract Pharmacy Representative

Exact Care Pharmacy
Dale Wollschleger, Pharmacy
(216) 369-2200

Signed By Date

10/16/2017

340B Drug Pricing Program Database