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RITE AID OF OHIO, INC.
CAH361311-00 HARRISON COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
HARRISON COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361311-00
Entity Address
951 EAST MARKET STREET
CADIZ, OH 43907-9749
Medicare Provider Number
361311
Participating Start Date
9/14/2010
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
RITE AID OF OHIO, INC.
Pharmacy Address
RITE AID #1793
651 LINCOLN STREET
CADIZ, OH 43907
Pharmacy Comments
Contract Details
Approval Date
12/27/2018
Contract Begin Date
12/27/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/16/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
James Murdy, CFO
(304) 243-3681
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
12/27/2018
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