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OHIO CVS STORES, L.L.C.
DSH360259 BAY PARK COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
BAY PARK COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360259
Entity Address
2801 BAY PARK DRIVE
OREGON, OH 43616
Medicare Provider Number
360259
Participating Start Date
7/1/2023
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
CVS/PHARMACY # 10246
4121 MONROE STREET
TOLEDO, OH 43606
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrew James Hageman, Finance Director
(567) 585-0990
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2024
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