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INJECTABLE THERAPY SERVICES, INC.
DSH050335 Sonora Community Hospital DBA Adventist Health Sonora
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Covered Entity Details
Entity Name
Sonora Community Hospital DBA Adventist Health Sonora
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050335
Entity Address
1000 Greenley Road
Sonora, CA 95370
Medicare Provider Number
050335
Participating Start Date
4/1/2017
Last Recertification Date
8/29/2024
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
4/10/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/2/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Greg McCulloch, President
(209) 536-5012
Contract Pharmacy Representative
Med Center Specialty Pharmacy
Nicholas Karalis, President
(610) 545-6040 Ext: 206
Signed By Date
4/10/2020
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