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INJECTABLE THERAPY SERVICES, INC.
HM83712 ST LUKE'S REGIONAL MEDICAL CENTER, LTD
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Covered Entity Details
Entity Name
ST LUKE'S REGIONAL MEDICAL CENTER, LTD
Subdivision Name
ST. LUKE'S HEMOPHILIA CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM83712
Entity Address
100 E. IDAHO ST.
BOISE, ID 83712
Grant Number
H30MC240491300
Participating Start Date
1/1/2007
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
INJECTABLE THERAPY SERVICES, INC.
Pharmacy Address
BIOMATRIX SPECIALTY PHARMACY CA
7959 DEERING AVE
CANOGA PARK, CA 91304-5009
Pharmacy Comments
Contract Details
Approval Date
7/16/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter DiDio, Vice President, Controller
(208) 381-1251
Contract Pharmacy Representative
Biomatrix
Jeff Johnson, Pharmacy Representative
(800) 404-1963
Signed By Date
7/16/2019
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