Contract Pharmacy Details

WOODRUFFS DRUGS
DSH310032 Inspira Medical Centers, INC.

Covered Entity Details

Entity Name

Inspira Medical Centers, INC.

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH310032

Entity Address

1505 WEST SHERMAN AVE
VINELAND, NJ 08360

Medicare Provider Number

310032

Participating Start Date

7/1/2005

Last Recertification Date

8/16/2024

Pharmacy Details

Pharmacy Name

WOODRUFFS DRUGS

Pharmacy Address

30 NORTH LAUREL STREET
BRIDGETON, NJ 08302-0830

Pharmacy Comments

Contract Details

Approval Date

5/4/2012

Contract Begin Date

5/9/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/16/2019
Ownership change

Contacts

Covered Entity Signing Official

THOMAS BALDOSARO, VP of Finance
(856) 455-4774

Contract Pharmacy Representative

Meredith Swank, President, Pharmacist-In-Charge
(856) 451-6755

Signed By Date

5/3/2012

340B Drug Pricing Program Database