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RITE AID OF OHIO, INC.
SCH360125-00 Ashtabula County Medical Center
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Covered Entity Details
Entity Name
Ashtabula County Medical Center
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH360125-00
Entity Address
2420 Lake Avenue
Ashtabula, OH 44004
Medicare Provider Number
360125
Participating Start Date
1/1/2012
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
RITE AID OF OHIO, INC.
Pharmacy Address
RITE AID #712
5 EAST ASHTABULA STREET
JEFFERSON, OH 44047
Pharmacy Comments
Contract Details
Approval Date
1/7/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/5/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Donald L. Kepner, Chief Financial Officer
(440) 997-6912
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
1/7/2014
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