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BAPTIST HEALTH PHARMACY #102, LLC
DSH100296 Doctors Hospital
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Covered Entity Details
Entity Name
Doctors Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100296
Entity Address
5000 University Drive
Coral Gables, FL 33146
Medicare Provider Number
100296
Participating Start Date
1/1/2019
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
BAPTIST HEALTH PHARMACY #102, LLC
Pharmacy Address
6200 SUNSET DR STE 102
SOUTH MIAMI, FL 33143-4832
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Madeline Camejo, Vice President and Chief Pharmacy Officer
(786) 662-0801
Contract Pharmacy Representative
Baptist Health Medical Group, Inc
Gordon Garland, Director, Retail Pharmacy
(786) 662-0828
Signed By Date
7/15/2021
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