340B Drug Pricing Program Database
BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
DSH450064 TEXAS HEALTH ARLINGTON MEMORIAL HOSP - information as of 6/2/2025 9:19:02 AM
Covered Entity Details
Entity Name
TEXAS HEALTH ARLINGTON MEMORIAL HOSP
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450064
Entity Address
800 W RANDOL MILL ROAD
ARLINGTON, TX 76012
Medicare Provider Number
450064
Participating Start Date
4/1/2023
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Pharmacy Address
376 NORTHLAKE BLVD
ALTAMONTE SPRINGS, FL 32701-5261
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Blake Kretz, President
(817) 960-6539
Contract Pharmacy Representative
CarepathRx Health System Solution
Ryan Rushing, Vice President, 340B Solutions
(512) 541-0665
Signed By Date
4/16/2018
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