340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FRUTH PHARMACY OF WELLSTON
DSH360008 SOUTHERN OHIO MEDICAL CENTER
Print
Covered Entity Details
Entity Name
SOUTHERN OHIO MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360008
Entity Address
1805 27TH STREET
PORTSMOUTH, OH 45662
Medicare Provider Number
360008
Participating Start Date
4/1/2005
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
FRUTH PHARMACY OF WELLSTON
Pharmacy Address
FRUTH PHARMACY #4
120 W 2ND ST
FRUTH PHARMACY
WELLSTON, OH 45692-1499
Pharmacy Comments
Contract Details
Approval Date
4/7/2022
Contract Begin Date
5/17/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/8/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kara Plummer, Associate CFO, Administration
(740) 356-8880
Contract Pharmacy Representative
Fruth Pharmacy
Andy Becker, VP Pharmacy
(304) 675-1612 Ext: 10117
Signed By Date
4/7/2022
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