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EXACT CARE PHARMACY, LLC
CHC30718-03 SIGNATURE HEALTH, INC.
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Covered Entity Details
Entity Name
SIGNATURE HEALTH, INC.
Subdivision Name
Signature Health Garfield Heights Health Center
Type
HRSA-Funded Health Center
340B ID
CHC30718-03
Entity Address
5410 Transportation Blvd.
Garfield Heights, OH 44125-5300
Grant Number
H80CS30718
Participating Start Date
7/1/2017
Last Recertification Date
Entity Termination Date
4/1/2018
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
4/1/2018
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
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