Contract Pharmacy Details

BIOPLUS SPECIALTY PHARMACY LA, LLC
DSH110229 Piedmont Newnan Hospital, Inc.

Covered Entity Details

Entity Name

Piedmont Newnan Hospital, Inc.

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH110229

Entity Address

745 Poplar Road
Newnan, GA 30265

Medicare Provider Number

110229

Participating Start Date

7/1/2013

Last Recertification Date

9/3/2019

Entity Termination Date

1/1/2020

Pharmacy Details

Pharmacy Name

BIOPLUS SPECIALTY PHARMACY LA, LLC

Pharmacy Address

2731 MANHATTAN BLVD STE B17
HARVEY, LA 70058

Pharmacy Comments

Contract Details

Approval Date

7/11/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2020
Covered Entity Terminated

Contacts

Covered Entity Signing Official

John G. Miles, Vice President / CFO
(770) 400-2336

Contract Pharmacy Representative

Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875

Signed By Date

7/11/2019

340B Drug Pricing Program Database