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NORTON PHARMACY HOME INFUSION SERVICES
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 PHARMACY HOME INFUSION SERVICES
Pharmacy Address
NORTON HEALTHCARE
2700 STANLEY GAULT PKWY STE 101
LOUISVILLE, KY 40223
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adam David Kempf, CFO
(502) 420-2255
Contract Pharmacy Representative
Norton Pharmacies, PLLC
David Kwasny, Dir, Infusion Services
(502) 629-6850
Signed By Date
10/13/2022
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