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CONWAY'S EASTSIDE PHARMACY
SCH360040-00 KNOX COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
KNOX COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH360040-00
Entity Address
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Medicare Provider Number
360040
Participating Start Date
10/1/2014
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
CONWAY'S EASTSIDE PHARMACY
Pharmacy Address
1451 YAUGER RD STE 1H
MOUNT VERNON, OH 43050-7902
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MICHAEL AMBROSIANI, CHIEF FINANCIAL OFFICER
(740) 393-9623
Contract Pharmacy Representative
Conway's Danville Pharmacy
Denise Conway, Pharmacy Owner
(740) 397-1420
Signed By Date
7/15/2016
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