340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Trinity Health Pharmacy Services, LLC
DSH360035 MOUNT CARMEL HEALTH
Print
Covered Entity Details
Entity Name
MOUNT CARMEL HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360035
Entity Address
6001 E Broad St
Columbus, OH 43213-1502
Medicare Provider Number
360035
Participating Start Date
4/1/2017
Last Recertification Date
8/16/2024
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session