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CLEVELAND CLINIC SPECIALTY/HOME DELIVERY
RRC100105-00 INDIAN RIVER MEMORIAL HOSPITA.L
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Covered Entity Details
Entity Name
INDIAN RIVER MEMORIAL HOSPITA.L
Subdivision Name
Type
Rural Referral Center
340B ID
RRC100105-00
Entity Address
1000 36TH STREET
VERO BEACH, FL 32960
Medicare Provider Number
100105
Participating Start Date
4/1/2022
Last Recertification Date
8/30/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
CLEVELAND CLINIC SPECIALTY/HOME DELIVERY
Pharmacy Address
3175 SCIENCE PARK DR STE AC4-B100
BEACHWOOD, OH 44122-7327
Pharmacy Comments
Contract Details
Approval Date
2/2/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ralph Turner, Chief Operating Officer
(772) 567-4311 Ext: 1062
Contract Pharmacy Representative
Cleveland Clinic
Donald Carroll, Associate Chief Pharmacy Officer
(216) 374-3584
Signed By Date
1/20/2022
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