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CHILDREN'S HOSPITAL OF AKRON
HM44907 Children's Hospital Medical Center of Akron
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Covered Entity Details
Entity Name
Children's Hospital Medical Center of Akron
Subdivision Name
Mansfield HTC Clinic
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM44907
Entity Address
1029 South Trimble Road
Mansfield, OH 44906
Grant Number
H30MC24047
Participating Start Date
1/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CHILDREN'S HOSPITAL OF AKRON
Pharmacy Address
D.B.A AKRON CHILDREN'S HOME CARE
185 W. CEDAR ST.
AKRON, OH 44307
Pharmacy Comments
02/08/2013 address update (was 300 Locust Street)
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Spencer Anthony Kowal, Chief Financial Officer and Treasurer
(330) 543-4456
Contract Pharmacy Representative
Akron Children's Hospital
Sally Hartline, Director of Home Care
(330) 543-8965
Signed By Date
10/15/2020
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