Contract Pharmacy Details

ORLANDO HEALTH INC. DBA SCRIPTS PHARMACY
DSH100030 ORLANDO HEALTH-HEALTH CENTRAL HOSPIT

Entity Name

ORLANDO HEALTH-HEALTH CENTRAL HOSPIT

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH100030

Entity Address

10000 W. COLONIAL DRIVE
OCOEE, FL 34761

Medicare Provider Number

100030

Participating Start Date

1/1/2024

Last Recertification Date

Pharmacy Name

ORLANDO HEALTH INC. DBA SCRIPTS PHARMACY

Pharmacy Address

10,000 WEST COLONIAL DRIVE
SUITE 181
OCOEE, FL 34761

Pharmacy Comments

Approval Date

1/17/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date

4/1/2020

Termination Reason

Covered Entity Terminated

Covered Entity Signing Official

Michael Mueller, CFO
(407) 296-1802

Signed By Date

1/17/2017

Contract Pharmacy Representative

orlando health
BERNADETTE SPONG, CFO
(321) 841-5078