UPI (Provider ID): 11230
Change Report (if Any):

Short Name: HAMILTON CHOICE

Long Name 1: HAMILTON CHOICES LLC
Long Name 2:

Address 1: 644 LINN STREET SUITE 900
Address 2:

City: CINCINNATI
Zip Code: 452031738
County: HAMI

Contact: MARY KAY BROWN
Title: PD
Phone: 5137655500
FAX: 5137655555

Vendor: 11230

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 01/23/2012

File Produced: 19MAY2012