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ACRO PHARMACEUTICAL SERVICES LLC
RRC360064-00 ST. ELIZABETH HEALTH CENTER
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Covered Entity Details
Entity Name
ST. ELIZABETH HEALTH CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360064-00
Entity Address
1044 BELMONT AVENUE
YOUNGSTOWN, OH 44504-1006
Medicare Provider Number
360064
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
ACRO PHARMACEUTICAL SERVICES LLC
Pharmacy Address
ACRO PHARMACEUTICAL SERVICES LLC
313 HENDERSON DR
SHARON HILL, PA 19079
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/22/2019
Ownership change
Contacts
Covered Entity Signing Official
Anthony Seminaro, CFO, Markets
(941) 587-1220
Contract Pharmacy Representative
Commcare Specialty Pharmacy
Bob Raffalo, VP Operations
(954) 284-2384
Signed By Date
1/15/2019
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