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MEIJER PHARMACY #162
DSH180040 UofL Health -- Louisville
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Covered Entity Details
Entity Name
UofL Health -- Louisville
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180040
Entity Address
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202-1818
Medicare Provider Number
180040
Participating Start Date
12/6/2005
Last Recertification Date
8/31/2024
Pharmacy Details
Pharmacy Name
MEIJER PHARMACY #162
Pharmacy Address
9905 DIXIE HWY
LOUISVILLE, KY 40272
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Melvin Alexander, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT
(502) 540-3888
Contract Pharmacy Representative
Meijer
Jeff Romano, Hospital Programs
(616) 791-3171
Signed By Date
4/15/2013
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