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RIVERSIDE MED BLDG PHARMACY
DSH360011 MARION GENERAL HOSPITAL
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Covered Entity Details
Entity Name
MARION GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360011
Entity Address
1000 MCKINLEY PARK DRIVE
MARION, OH 43302
Medicare Provider Number
360011
Participating Start Date
4/1/2023
Last Recertification Date
8/30/2024
Entity Termination Date
1/1/2025
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
1/12/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Joseph S Lyren, VP Finance
(419) 526-8417
Contract Pharmacy Representative
OhioHealth
Paul Higginbotham, Director - Pharmacy Services
(614) 533-5262
Signed By Date
1/12/2021
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