340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF OHIO, INC.
DSH360153 BELMONT COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
BELMONT COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360153
Entity Address
4697 HARRISON STREET
BELLAIRE, OH 43906
Medicare Provider Number
360153
Participating Start Date
4/1/2011
Last Recertification Date
8/22/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
RITE AID OF OHIO, INC.
Pharmacy Address
RITE AID #1793
651 LINCOLN STREET
CADIZ, OH 43907
Pharmacy Comments
Contract Details
Approval Date
2/11/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
James Murdy, CFO
(304) 243-3681
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
1/9/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session