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APOTHECARE, INC.
SCH210027 UPMC Western Maryland Corporation dba UPMC Western Maryland
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Covered Entity Details
Entity Name
UPMC Western Maryland Corporation dba UPMC Western Maryland
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH210027
Entity Address
12500 Willowbrook Road
Cumberland, MD 21502
Medicare Provider Number
210027
Participating Start Date
4/1/2013
Last Recertification Date
9/9/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
APOTHECARE, INC.
Pharmacy Address
COLUMBIA PHARMACY INC
2929 S WABASH AVE STE 101
CHICAGO, IL 60616
Pharmacy Comments
Contract Details
Approval Date
1/16/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/21/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kimberly S. Repac, Sr. Vice President/CFO
(240) 964-7233
Contract Pharmacy Representative
Apothecare Inc
Dennis Inc Fruin, RPh
(312) 791-3334
Signed By Date
1/16/2015
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