340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ADENA PHARMACY, LLC
DSH360159 ADENA REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
ADENA REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360159
Entity Address
272 HOSPITAL ROAD
CHILLICOTHE, OH 45601
Medicare Provider Number
360159
Participating Start Date
4/1/2008
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
ADENA PHARMACY, LLC
Pharmacy Address
272 HOSPITAL RD
CHILLICOTHE, OH 45601-9031
Pharmacy Comments
Contract Details
Approval Date
12/4/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Keith Coleman, CFO
(740) 779-7582
Contract Pharmacy Representative
Judith Henson, CNO
(740) 779-7151
Signed By Date
10/15/2012
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