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PROMEDICA PHARMACY GROUP LLC
CAH361318-00 Fostoria Community Hospital
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Covered Entity Details
Entity Name
Fostoria Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361318-00
Entity Address
501 Van Buren Street
Fostoria, OH 44830
Medicare Provider Number
361318
Participating Start Date
7/1/2013
Last Recertification Date
8/20/2024
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
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