340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HEALTHSOURCE OF OHIO BATAVIA PHARMACY
CH05099G HEALTHSOURCE OF OHIO, INC.
Print
Covered Entity Details
Entity Name
HEALTHSOURCE OF OHIO, INC.
Subdivision Name
HealthSource Mt. Orab
Type
HRSA-Funded Health Center
340B ID
CH05099G
Entity Address
150 Health Partners Circle
Mt. Orab, OH 45154
Grant Number
H80CS00201
Participating Start Date
10/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HEALTHSOURCE OF OHIO BATAVIA PHARMACY
Pharmacy Address
2055 HOSPITAL DR
STE 130
BATAVIA, OH 45103-1978
Pharmacy Comments
Contract Details
Approval Date
3/31/2011
Contract Begin Date
4/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/11/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/28/2011
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session