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OPTION CARE ENTERPRISES, INC.
DSH360076 ATRIUM MEDICAL CENTER
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Covered Entity Details
Entity Name
ATRIUM MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360076
Entity Address
ONE MEDICAL CENTER DRIVE
MIDDLETOWN, OH 45005-1006
Medicare Provider Number
360076
Participating Start Date
10/1/2020
Last Recertification Date
8/23/2024
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
7/1/2019
Covered Entity Terminated
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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