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RIVERSIDE MED BLDG PHARMACY
RRC360011-00 MARION GENERAL HOSPITAL
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Covered Entity Details
Entity Name
MARION GENERAL HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360011-00
Entity Address
1000 McKinley Park Drive
Marion, OH 43302
Medicare Provider Number
360011
Participating Start Date
1/1/2025
Last Recertification Date
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
12/2/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/29/2022
Business decision by covered entity and/or pharmacy
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
12/2/2021
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