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OPTION CARE ENTERPRISES, INC.
DSH360051 MIAMI VALLEY HOSPITAL
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Covered Entity Details
Entity Name
MIAMI VALLEY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360051
Entity Address
ONE WYOMING STREET
DAYTON, OH 45409
Medicare Provider Number
360051
Participating Start Date
4/1/2005
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
OPTION CARE ENTERPRISES, INC.
Pharmacy Address
OPTION CARE
50 WEST TECHNE CENTER DRIVE
SUITE J
MILFORD, OH 45150-8403
Pharmacy Comments
Contract Details
Approval Date
4/12/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
THOMAS DUNCAN, CFO
(937) 499-9988
Contract Pharmacy Representative
Option Care Enterprises
Matthew Deans, Vice President of Business Development
(937) 478-5034
Signed By Date
4/12/2018
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