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ECKERD CORPORATION
DSH080003 ST FRANCIS HOSPITAL, INC
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Covered Entity Details
Entity Name
ST FRANCIS HOSPITAL, INC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH080003
Entity Address
701 NORTH CLAYTON STREET
WILMINGTON, DE 19805-0500
Medicare Provider Number
080003
Participating Start Date
10/1/2009
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
ECKERD CORPORATION
Pharmacy Address
RITE AID #11187
4718 LIMESTONE ROAD
WILMINGTON, DE 19808
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/17/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dale Szafran, Director of Financial Operations
(302) 421-4665
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
1/15/2016
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