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WHITE OAK PHARMACY
RRC360147-00 MARIETTA MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MARIETTA MEMORIAL HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360147-00
Entity Address
401 MATTHEW STREET
MARIETTA, OH 45750
Medicare Provider Number
360147
Participating Start Date
1/1/2015
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
WHITE OAK PHARMACY
Pharmacy Address
DBA WHITE OAK PHARMACY
8465 STATE ROUTE 339
VINCENT, OH 45784
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Joseph Hupp, SR Director of Finance / Interim CFO
(740) 374-1546
Contract Pharmacy Representative
Benzer Pharmacy
Komal Patel, Pharmacist
(786) 615-8627
Signed By Date
10/15/2018
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