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OPTION CARE ENTERPRISES, INC.
DSH260141 University of Missouri Health Care
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Covered Entity Details
Entity Name
University of Missouri Health Care
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260141
Entity Address
One Hospital Drive
Columbia, MO 65212
Medicare Provider Number
260141
Participating Start Date
12/1/1992
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
OPTION CARE ENTERPRISES, INC.
Pharmacy Address
OPTION CARE
535 AXMINISTER DRIVE
FENTON, MO 63026-2903
Pharmacy Comments
Contract Details
Approval Date
4/18/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mitchell L. Wasden, CEO/COO
(573) 884-8738
Contract Pharmacy Representative
Wendy Richardson, General Manager
(636) 717-1301
Signed By Date
4/18/2016
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