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OLDHAM PHARMACIST GROUP
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
OLDHAM PHARMACIST GROUP
Pharmacy Address
DBA MED SAVE LAGRANGE
1000 CHERRYWOOD PL STE 100
LA GRANGE, KY 40031-8927
Pharmacy Comments
Contract Details
Approval Date
1/6/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adam David Kempf, CFO
(502) 420-2255
Contract Pharmacy Representative
Med Save
James Drane Stephens, Pharmacist Owner
(502) 518-9120
Signed By Date
1/6/2023
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