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STEWART'S PHARMACY
CAH361332-00 HIGHLAND DISTRICT HOSPITAL
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Covered Entity Details
Entity Name
HIGHLAND DISTRICT HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361332-00
Entity Address
1275 N. HIGH STREET
HILLSBORO, OH 45133-8273
Medicare Provider Number
361332
Participating Start Date
8/25/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
STEWART'S PHARMACY
Pharmacy Address
ARNOLD'S APOTHECARY INC DBA
1013 JEFFERSON ST
GREENFIELD, OH 45123
Pharmacy Comments
Contract Details
Approval Date
7/11/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RANDAL LENNARTZ, President & CEO
(937) 840-6575
Contract Pharmacy Representative
David Arnold, President
(937) 981-3245
Signed By Date
7/11/2013
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