Contract Pharmacy Details

MULLANEY'S LTC PHARMACY
CH0516210 WINTON HILLS MEDICAL & HEALTH CENTER, INC.

Entity Name

WINTON HILLS MEDICAL & HEALTH CENTER, INC.

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH0516210

Entity Address

5275 WINNESTE AVENUE
CINCINNATI, OH 45232

Grant Number

H80CS00853

Participating Start Date

7/1/2005

Last Recertification Date

1/30/2024

Pharmacy Name

MULLANEY'S LTC PHARMACY

Pharmacy Address

6096 MONTGOMERY RD SUITE B
CINCINNATI, OH 45213

Pharmacy Comments

Approval Date

4/12/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date

7/1/2018

Termination Reason

Agreement registered in error

Covered Entity Signing Official

Miriam Crenshaw, CEO
(513) 233-7100

Signed By Date

4/12/2018

Contract Pharmacy Representative

Mullaney Pharmacy
Thomas P Mullaney, President
(513) 587-6201