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AMAZON PHARMACY #009
DSH360003 University of Cincinnati Medical Center LLC
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Covered Entity Details
Entity Name
University of Cincinnati Medical Center LLC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360003
Entity Address
3188 Bellevue Avenue
CINCINNATI, OH 45219
Medicare Provider Number
360003
Participating Start Date
12/1/1992
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
AMAZON PHARMACY #009
Pharmacy Address
7469 KINGSPOINTE PKWY STE 400
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffrey Akers, VP Pharmacy Administration UC Health
(513) 585-8005
Contract Pharmacy Representative
Amazon
Bridget O'Connell, Corporate Counsel
(855) 745-5725
Signed By Date
4/4/2025
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