340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RIVERSIDE MED BLDG PHARMACY
DSH360170 BERGER HOSPITAL
Print
Covered Entity Details
Entity Name
BERGER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360170
Entity Address
600 N. PICKAWAY STREET
CIRCLEVILLE, OH 43113
Medicare Provider Number
360170
Participating Start Date
10/1/2009
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
RIVERSIDE MED BLDG PHARMACY
Pharmacy Address
3545 OLENTANGY RIVER RD STE 100
COLUMBUS, OH 43214-3998
Pharmacy Comments
Contract Details
Approval Date
1/11/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/20/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tim A Colburn, President
(740) 420-8231
Contract Pharmacy Representative
OhioHealth
Paul Higginbotham, Director - Pharmacy Services
(614) 533-5262
Signed By Date
1/11/2021
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