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MOUNT CARMEL PHARMACY
DSH360035 MOUNT CARMEL HEALTH
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Covered Entity Details
Entity Name
MOUNT CARMEL HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360035
Entity Address
6001 E Broad St
Columbus, OH 43213-1502
Medicare Provider Number
360035
Participating Start Date
4/1/2017
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MOUNT CARMEL PHARMACY
Pharmacy Address
500 S CLEVELAND AVE RM 1L1003
WESTERVILLE, OH 43081-8971
Pharmacy Comments
Contract Details
Approval Date
4/19/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dan Powell, CFO, SVP Finance
(614) 546-4619
Contract Pharmacy Representative
Mount Carmel Health System
Amy Dickson, Regional Chief Pharmacy Officer
(614) 546-1031
Signed By Date
4/19/2017
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