340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CORAM HEALTHCARE CORPORATION OF FLORIDA
DSH370093 OU MEDICAL CENTER
Print
Covered Entity Details
Entity Name
OU MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH370093
Entity Address
700 NE 13TH ST.
OKLAHOMA CITY, OK 73104
Medicare Provider Number
370093
Participating Start Date
7/1/2018
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
CORAM HEALTHCARE CORPORATION OF FLORIDA
Pharmacy Address
DBA CORAM CVS/SPECIALTY INFUSION SERVICE
8508 BENJAMIN RD
SUITE C
TAMPA, FL 33634-1241
Pharmacy Comments
Contract Details
Approval Date
10/13/2020
Contract Begin Date
10/27/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/23/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James Michael Watson, CFO
(405) 271-5100
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session