340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTION CARE ENTERPRISES, INC.
DSH310029 Virtua Our Lady Of Lourdes Hospital
Print
Covered Entity Details
Entity Name
Virtua Our Lady Of Lourdes Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310029
Entity Address
1600 HADDON AVENUE
CAMDEN, NJ 08103
Medicare Provider Number
310029
Participating Start Date
7/1/2009
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
OPTION CARE ENTERPRISES, INC.
Pharmacy Address
OPTION CARE
4000 CHEMICAL ROAD
SUITE 100
PLYMOUTH MEETING, PA 19462-1708
Pharmacy Comments
Contract Details
Approval Date
7/10/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/14/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark P. Nessel, COO
(856) 580-6333
Contract Pharmacy Representative
Option Care
Derek Bilyk, Program Manager, Health Systems
(224) 813-1283
Signed By Date
7/10/2017
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