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DBA PROMEDICA SPECIALTY PHARMACY
DSH360068 THE TOLEDO HOSPITAL
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Covered Entity Details
Entity Name
THE TOLEDO HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360068
Entity Address
2142 N. COVE BLVD.
TOLEDO, OH 43606
Medicare Provider Number
360068
Participating Start Date
4/1/2007
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
DBA PROMEDICA SPECIALTY PHARMACY
Pharmacy Address
2100 W CENTRAL AVE STE 140
TOLEDO, OH 43606-3817
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
David Brewer, Administrative Director - Metro Acute Care Finance
(567) 585-0257
Contract Pharmacy Representative
ProMedica Health System
Bryan Coehrs, Director of Pharmacy Operations
(419) 460-0202
Signed By Date
10/15/2021
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