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SINA DRUG LLC
DSH230029 TRINITY HEALTH OAKLAND HOSPITAL
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Covered Entity Details
Entity Name
TRINITY HEALTH OAKLAND HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230029
Entity Address
44405 WOODWARD AVENUE
PONTIAC, MI 48341
Medicare Provider Number
230029
Participating Start Date
7/1/2022
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SINA DRUG LLC
Pharmacy Address
DBA ONCO360
7125 JANES AVE
STE 700
WOODRIDGE, IL 60517
Pharmacy Comments
Contract Details
Approval Date
6/10/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Gusho, Regional Chief Financial Officer
(248) 858-6174
Contract Pharmacy Representative
Sina Drugs dba Onco 360 Illinois
Kimberely Beranek, Director of Pharmacy
(877) 662-6633 Ext: 2101
Signed By Date
6/6/2022
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