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GIANT EAGLE PHARMACY #1611
RRC360070-00 CLEVELAND CLINIC MERCY HOSPITAL
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Covered Entity Details
Entity Name
CLEVELAND CLINIC MERCY HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360070-00
Entity Address
1320 MERCY DRIVE N.W
CANTON, OH 44708
Medicare Provider Number
360070
Participating Start Date
7/1/2020
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
GIANT EAGLE PHARMACY #1611
Pharmacy Address
108 WEST MAIN STREET
LOUISVILLE, OH 44641
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David K Stewart, SVP / COO / CFO
(330) 489-1007
Contract Pharmacy Representative
Giant Eagle, Inc.
Mike Bianco, Senior Pharmacy Manager
(412) 967-3718
Signed By Date
7/15/2020
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