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MEIJER INC #189
CAH361328-00 Defiance Regional Hospital
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Covered Entity Details
Entity Name
Defiance Regional Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361328-00
Entity Address
1200 Ralston Avenue
Defiance, OH 43512
Medicare Provider Number
361328
Participating Start Date
7/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
MEIJER INC #189
Pharmacy Address
137 ELLIOTT RD
DEFIANCE, OH 43512
Pharmacy Comments
Contract Details
Approval Date
1/16/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ken Swint, CFO
(419) 436-6648
Contract Pharmacy Representative
Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185
Signed By Date
1/16/2017
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