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OHIO CVS STORES, L.L.C.
DSH360170 BERGER HOSPITAL
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Covered Entity Details
Entity Name
BERGER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360170
Entity Address
600 N. PICKAWAY STREET
CIRCLEVILLE, OH 43113
Medicare Provider Number
360170
Participating Start Date
10/1/2009
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06195
205 EAST MAIN ST
CIRCLEVILLE, OH 43113
Pharmacy Comments
Contract Details
Approval Date
10/16/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/29/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Richard Filler, Chief Financial Officer
(740) 420-8089
Contract Pharmacy Representative
Jordan Birnbaum, Manager Payer Relations
(401) 770-2241
Signed By Date
10/16/2014
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