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NORTON PHARMACIES, PLLC
DSH180088 NORTON HOSPITALS, INC
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Covered Entity Details
Entity Name
NORTON HOSPITALS, INC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180088
Entity Address
200 East Chestnut Street
LOUISVILLE, KY 40202
Medicare Provider Number
180088
Participating Start Date
1/1/2004
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
NORTON PHARMACIES, PLLC
Pharmacy Address
DBA NORTON PHARMACY
4960 NORTON HEALTHCARE BLVD
LOUISVILLE, KY 40241
Pharmacy Comments
Contract Details
Approval Date
4/22/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adam David Kempf, CFO
(502) 420-2255
Contract Pharmacy Representative
Norton Pharmacies, PLLC
William Andrew Whitworth, Director Community Pharmacy Operations
(502) 559-1368
Signed By Date
4/22/2019
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