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UC Health Pharmacy
DSH360003 University of Cincinnati Medical Center LLC
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Covered Entity Details
Entity Name
University of Cincinnati Medical Center LLC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360003
Entity Address
3188 Bellevue Avenue
CINCINNATI, OH 45219
Medicare Provider Number
360003
Participating Start Date
12/1/1992
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
UC Health Pharmacy
Pharmacy Address
222 Piedmont Avenue Suite 3100
Cincinnati, OH 45219
Pharmacy Comments
Contract Details
Approval Date
1/13/2021
Contract Begin Date
1/13/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RICK HINDS, Executive Vice President and Chief Financial Officer
(513) 585-8720
Contract Pharmacy Representative
UC Health
Vijay Reddy, Director, Ambulatory/Infusion SVCS
(513) 585-8302
Signed By Date
1/13/2021
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