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CHARITABLE PHARMACY OF CENTRAL OHIO, INC
DSH360017 GRANT MEDICAL CENTER
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Covered Entity Details
Entity Name
GRANT MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360017
Entity Address
111 S Grant Avenue
COLUMBUS, OH 43215
Medicare Provider Number
360017
Participating Start Date
9/9/2005
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
CHARITABLE PHARMACY OF CENTRAL OHIO, INC
Pharmacy Address
THE CHARITABLE PHARMACY OF CENTRAL OHIO,
200 E. LIVINGSTON AVE
COLUMBUS, OH 43215-4321
Pharmacy Comments
Contract Details
Approval Date
4/10/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Heather Brandon, VP Finance Grant
(614) 566-9340
Contract Pharmacy Representative
The Charitable Pharmacy of Central Ohio
Jennifer Seifert, Executive Director
(614) 227-0301
Signed By Date
4/10/2018
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