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BIOSCRIP PHARMACY SERVICES, INC.
HM07112 NEWARK BETH ISRAEL MEDICAL CENTER
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Covered Entity Details
Entity Name
NEWARK BETH ISRAEL MEDICAL CENTER
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM07112
Entity Address
201 LYONS AVENUE
NEWARK, NJ 07112
Grant Number
2 H30MC24048-11-00
Participating Start Date
7/1/2003
Last Recertification Date
2/20/2025
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
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Douglas Zehner, Senior Vice President
(973) 926-6982
Contract Pharmacy Representative
Option Care Health
Jennifer Money, Manager, Health Systems Programs
(312) 940-2504
Signed By Date
4/14/2020
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