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KROGER COLUMBUS CENTRAL FILL #019
SCH360197-00 MARY RUTAN HOSPITAL
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Covered Entity Details
Entity Name
MARY RUTAN HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH360197-00
Entity Address
205 E PALMER ROAD
BELLEFONTAINE, OH 43311
Medicare Provider Number
360197
Participating Start Date
9/30/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
KROGER COLUMBUS CENTRAL FILL #019
Pharmacy Address
2270 RICKENBACKER PKWY W
COLUMBUS, OH 43217
Pharmacy Comments
Contract Details
Approval Date
10/10/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Steven R. Brown, CFO, VP FINANCIAL SERVICES
(937) 599-7001
Contract Pharmacy Representative
Mary Rutan Hospital
Christina Marie Myers, Director of Pharmacy
(937) 599-7054
Signed By Date
10/10/2019
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