340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PROMEDICA PHARMACY GROUP LLC
CAH361328-00 Defiance Regional Hospital
Print
Covered Entity Details
Entity Name
Defiance Regional Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361328-00
Entity Address
1200 Ralston Avenue
Defiance, OH 43512
Medicare Provider Number
361328
Participating Start Date
7/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
PROMEDICA PHARMACY GROUP LLC
Pharmacy Address
PROMEDICA SPECIALTY PHARMACY
3142 W CENTRAL AVE
TOLEDO, OH 43606
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ken Swint, CFO
(419) 436-6648
Contract Pharmacy Representative
ProMedica Health System
Bryan Coehrs, Director of Pharmacy Operations
(419) 460-0202
Signed By Date
10/15/2024
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