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FRED W ALBRECHT GROCERY CO
DSH360020 SUMMA HEALTH SYSTEM
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Covered Entity Details
Entity Name
SUMMA HEALTH SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360020
Entity Address
525 E. MARKET STREET
AKRON, OH 44309
Medicare Provider Number
360020
Participating Start Date
10/1/2017
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
FRED W ALBRECHT GROCERY CO
Pharmacy Address
DBA ACME PHARMACY #14
3235 MANCHESTER RD
AKRON, OH 44319
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas Clifford Deveny, President and CEO
(234) 312-5050
Contract Pharmacy Representative
The Fred W. Albrecht Grocery Company
Joe Lahovich, Director of Pharmacy Operations
(330) 733-2263 Ext: 55373
Signed By Date
7/15/2019
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