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ACME MARKETS INC
DSH210032 UNION HOSPITAL OF CECIL COUNTY
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Covered Entity Details
Entity Name
UNION HOSPITAL OF CECIL COUNTY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH210032
Entity Address
106 BOW STREET
ELKTON, MD 21921
Medicare Provider Number
210032
Participating Start Date
10/1/2015
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
ACME MARKETS INC
Pharmacy Address
ACME PHARMACY #806
100 SUBURBAN DR
NEWARK, DE 19711
Pharmacy Comments
Contract Details
Approval Date
4/18/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James G. Raab, CFO
(410) 392-7095
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
4/18/2018
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