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DISCOUNT DRUG MART #72
CH050960 COMMUNITY AND RURAL HEALTH SERVICES
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Covered Entity Details
Entity Name
COMMUNITY AND RURAL HEALTH SERVICES
Subdivision Name
Main Site
Type
HRSA-Funded Health Center
340B ID
CH050960
Entity Address
2221 Hayes Avenue
FREMONT, OH 43420
Grant Number
H80CS00661
Participating Start Date
7/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
DISCOUNT DRUG MART #72
Pharmacy Address
1062 W MCPHERSON HWY
CLYDE, OH 43410
Pharmacy Comments
Contract Details
Approval Date
4/18/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JOSEPH LISZAK, CEO
(419) 334-8943 Ext: 225
Contract Pharmacy Representative
Discount Drug Mart
Pete Ratycz, Vice President of Pharmacy
(330) 725-2340
Signed By Date
4/18/2017
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