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BJC HOME CARE SVC PHARMACY
DSH260032 BARNES-JEWISH HOSPITAL
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Covered Entity Details
Entity Name
BARNES-JEWISH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260032
Entity Address
One Barnes-Jewish Hospital Plaza
St. Louis, MO 63110
Medicare Provider Number
260032
Participating Start Date
7/1/2004
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
BJC HOME CARE SVC PHARMACY
Pharmacy Address
HOME INFUSION
710 S BOYLE AVE
SAINT LOUIS, MO 63110
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/19/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Robert Cannon, President
(314) 286-2118
Contract Pharmacy Representative
BJC Healthcare
Lori Weilmuenster, Pharmacy Manager
(314) 953-2060
Signed By Date
7/16/2018
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