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THE LANE DRUG COMPANY
SCH360040-00 KNOX COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
KNOX COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH360040-00
Entity Address
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Medicare Provider Number
360040
Participating Start Date
10/1/2014
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
THE LANE DRUG COMPANY
Pharmacy Address
RITE AID #2416
4 NEWARK ROAD
MT VERNON, OH 43050
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/24/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
MICHAEL AMBROSIANI, CHIEF FINANCIAL OFFICER
(740) 393-9623
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President, Managed Care
(717) 975-5968
Signed By Date
1/10/2020
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