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ASCENSION PHARMACY SERVICES, LLC
DSH150084 ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis
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Covered Entity Details
Entity Name
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150084
Entity Address
2001 WEST 86TH STREET
INDIANAPOLIS, IN 46260
Medicare Provider Number
150084
Participating Start Date
9/3/2008
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
ASCENSION PHARMACY SERVICES, LLC
Pharmacy Address
DBA ASCENSION RX 1303
30055 NORTHWESTERN HWY STE 225
FARMINGTON HILLS, MI 48334
Pharmacy Comments
Contract Details
Approval Date
1/12/2022
Contract Begin Date
1/26/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terrence Metzger, COO
(317) 338-9769
Contract Pharmacy Representative
Ascension Michigan Pharmacy
Suzanne Noe, Pharmacist
(248) 865-3770
Signed By Date
1/12/2022
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