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BIOSCRIP PHARMACY SERVICES, INC.
DSH440152 Regional One Health
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Covered Entity Details
Entity Name
Regional One Health
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440152
Entity Address
877 JEFFERSON AVENUE
MEMPHIS, TN 38103
Medicare Provider Number
440152
Participating Start Date
4/1/1993
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
BIOSCRIP PHARMACY SERVICES, INC.
Pharmacy Address
BIOSCRIP PHARMACY SERVICES
5700 PERIMETER DR STE B
DUBLIN, OH 43017
Pharmacy Comments
Contract Details
Approval Date
7/9/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rick Wagers, CFO
(901) 545-7676
Contract Pharmacy Representative
Bioscrip
Laura Burgheim, National Director 340B Program
(513) 315-5360
Signed By Date
7/9/2018
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