340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DISCOUNT DRUG MART
CAH361325-17 GALION COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
GALION COMMUNITY HOSPITAL
Subdivision Name
Rural Health Clinic - Portland Way North (RHC 800) - Physician Practice
Type
Critical Access Hospital
340B ID
CAH361325-17
Entity Address
800 Portland Way North
Galion, OH 44833
Medicare Provider Number
361325
Outpatient Facility Provider Number
363414
Participating Start Date
4/1/2020
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
DISCOUNT DRUG MART
Pharmacy Address
219 MANSFIELD AVE
SHELBY, OH 44875
Pharmacy Comments
Contract Details
Approval Date
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ERIC DRAIME, CHIEF FINANCIAL OFFICER
(419) 468-0501
Contract Pharmacy Representative
Discount Drug Mart
Joseph V Muha, Corporate Counsel/Director of Pharmacy Compliance
(330) 725-2340 Ext: 84480
Signed By Date
7/13/2022
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