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BERRY PHARMACY CO INC
CH050990 HEALTHSOURCE OF OHIO, INC.
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Covered Entity Details
Entity Name
HEALTHSOURCE OF OHIO, INC.
Subdivision Name
HEALTHSOURCE OF OHIO, INC.
Type
HRSA-Funded Health Center
340B ID
CH050990
Entity Address
424 WARDS CORNER STE 200
LOVELAND, OH 45140-6966
Grant Number
H80CS00201
Participating Start Date
10/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BERRY PHARMACY CO INC
Pharmacy Address
1041 B OLD U.S. 52
NEW RICHMOND, OH 45157
Pharmacy Comments
Contract Details
Approval Date
1/8/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/25/2017
Ownership change
Contacts
Covered Entity Signing Official
Kim Patton, President
(513) 576-7700 Ext: 3606
Contract Pharmacy Representative
Signed By Date
1/8/2016
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