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OHIO CVS STORES, L.L.C.
CH058470 COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
CNHC dba PrimaryOne Health
Type
HRSA-Funded Health Center
340B ID
CH058470
Entity Address
2780 Airport Drive, Suite 100
Columbus, OH 43219-1060
Grant Number
H80CS00118
Participating Start Date
10/1/1998
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05715
3355 EAST LIVINGSTON AVE
COLUMBUS, OH 43227
Pharmacy Comments
Contract Details
Approval Date
1/4/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/15/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Charleta B. Tavares, CEO
(614) 859-1946
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/4/2017
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