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Trinity Health Pharmacy Services, LLC
DSH360012 ST. ANN'S HOSP OF COLUMBUS INC,
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Covered Entity Details
Entity Name
ST. ANN'S HOSP OF COLUMBUS INC,
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360012
Entity Address
500 SOUTH CLEVELAND AVE
WESTERVILLE, OH 43081-0000
Medicare Provider Number
360012
Participating Start Date
1/1/2016
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
Trinity Health Pharmacy Services, LLC
Pharmacy Address
12279 Bluffton Road
Fort Waye, IN 46809
Pharmacy Comments
Contract Details
Approval Date
10/17/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Morris, CFO & Executive V.P.
(614) 546-4620
Contract Pharmacy Representative
Trinity Health
Bob Ripley, VP Pharmacy
(734) 343-1365
Signed By Date
10/17/2019
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