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OPTION CARE ENTERPRISES, INC.
DSH100276 Broward Health Coral Springs
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Covered Entity Details
Entity Name
Broward Health Coral Springs
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100276
Entity Address
3000 CORAL HILLS DRIVE
CORAL SPRINGS, FL 33065
Medicare Provider Number
100276
Participating Start Date
10/1/2007
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
OPTION CARE ENTERPRISES, INC.
Pharmacy Address
DBA OPTION CARE
11650 MIRAMAR PARKWAY
SUITE 100
MIRAMAR, FL 33025-5823
Pharmacy Comments
Contract Details
Approval Date
10/16/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Maureen P Martin, CFO - Coral Springs
(954) 344-3124
Contract Pharmacy Representative
Option Care
Jenny Money, Senior Manager, Health Systems Programs
(773) 202-6786
Signed By Date
10/16/2019
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