340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HERCHE BLOOR PHARMACY
DSH360096 EAST LIVERPOOL CITY HOSPITAL
Print
Covered Entity Details
Entity Name
EAST LIVERPOOL CITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360096
Entity Address
425 WEST FIFTH STREET
EAST LIVERPOOL, OH 43920
Medicare Provider Number
360096
Participating Start Date
7/1/2015
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
HERCHE BLOOR PHARMACY
Pharmacy Address
104 E 5TH ST
EAST LIVERPOOL, OH 43920
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/29/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Keith Richardson, CEO
(330) 386-2002
Contract Pharmacy Representative
Hersche Bloor Pharmacy
Bruno Decaria, owner
(330) 385-0825
Signed By Date
1/15/2021
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