340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DISCOUNT DRUG MART INC #14
DSH360025 FIRELANDS REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
FIRELANDS REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360025
Entity Address
1111 HAYES AVENUE
SANDUSKY, OH 44870
Medicare Provider Number
360025
Participating Start Date
1/1/2017
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
DISCOUNT DRUG MART INC #14
Pharmacy Address
3700 MILAN RD
SANDUSKY, OH 44870
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Riley, CFO
(419) 557-7797
Contract Pharmacy Representative
Discount Drug Mart
Joseph V Muha, Corporate Counsel/Director of Pharmacy Compliance
(330) 725-2340 Ext: 84480
Signed By Date
7/10/2023
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