Contract Pharmacy Details

STEWART'S PHARMACY
CH050990 HEALTHSOURCE OF OHIO, INC.

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

STEWART'S PHARMACY

Pharmacy Address

OLAKER'S APOTHECARY LLC DBA
1013 JEFFERSON ST
GREENFIELD, OH 45123-1283

Pharmacy Comments

Contract Details

Approval Date

1/12/2016

Contract Begin Date

4/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Kim Patton, President
(513) 576-7700 Ext: 3606

Contract Pharmacy Representative

David Olaker, Owner
(937) 981-3245

Signed By Date

1/12/2016

340B Drug Pricing Program Database