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QUAY PHARMACY INC
CAH361325-00 GALION COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
GALION COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361325-00
Entity Address
269 PORTLAND WAY SOUTH
GALION, OH 44833
Medicare Provider Number
361325
Participating Start Date
9/24/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
QUAY PHARMACY INC
Pharmacy Address
D.B.A QUAY DRUGS
2 PUBLIC SQ
GALION, OH 44833
Pharmacy Comments
Contract Details
Approval Date
10/6/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ERIC DRAIME, CHIEF FINANCIAL OFFICER
(419) 468-0501
Contract Pharmacy Representative
Hursh Drugs Inc.
Brittany Lee Poehler, President
(419) 524-0521
Signed By Date
10/6/2022
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