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DUSINI DRUG INC
CAH361302-00 TRINITY HOSPITAL TWIN CITY
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Covered Entity Details
Entity Name
TRINITY HOSPITAL TWIN CITY
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361302-00
Entity Address
819 N 1st STREET
DENNISON, OH 44621-1003
Medicare Provider Number
361302
Participating Start Date
7/1/2013
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
DUSINI DRUG INC
Pharmacy Address
315 E HIGH AVE
NEW PHILADELPHIA, OH 44663-2566
Pharmacy Comments
Contract Details
Approval Date
10/2/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/26/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
WOODROW W. HATHAWAY JR., CHIEF FINANCIAL OFFICER
(740) 922-7450 Ext: 2190
Contract Pharmacy Representative
Scott Vinci, Pharmacist/President
(330) 364-5519
Signed By Date
10/2/2014
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