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THE LANE DRUG COMPANY
CAH361300-00 PAULDING COUNTY HOSPITAL
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Covered Entity Details
Entity Name
PAULDING COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361300-00
Entity Address
1035 WEST WAYNE STREET
PAULDING, OH 45879
Medicare Provider Number
361300
Participating Start Date
8/11/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
THE LANE DRUG COMPANY
Pharmacy Address
RITE AID #2372
1000 NORTH WILLIAMS STREET
PAULDING, OH 45879
Pharmacy Comments
Contract Details
Approval Date
4/4/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/13/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
ROBERT GOSHIA, CHIEF FINANCIAL OFFICER
(419) 399-1106
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
4/4/2014
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