Contract Pharmacy Details

DIAMOND PHARMACY SERVICE
DSH180141 UNIVERSITY OF LOUISVILLE HOSPITAL

Covered Entity Details

Entity Name

UNIVERSITY OF LOUISVILLE HOSPITAL

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH180141

Entity Address

530 SOUTH JACKSON STREET
LOUISVILLE, KY 40202

Medicare Provider Number

180141

Participating Start Date

7/1/1996

Last Recertification Date

8/31/2024

Pharmacy Details

Pharmacy Name

DIAMOND PHARMACY SERVICE

Pharmacy Address

DIAMOND PHARMACY SERVICES
645 KOLTER DRIVE
INDIANA, PA 15701

Pharmacy Comments

Contract Details

Approval Date

10/15/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/30/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Ken Marshall, President
(502) 562-6508

Contract Pharmacy Representative

Diamond Pharmacy
Cindy J. Gray, Director of Special Project Development
(724) 349-1111

Signed By Date

10/15/2013

340B Drug Pricing Program Database