Contract Pharmacy Details

ONCOMED PHARMACEUTICAL SERVICES OF MA, I
DSH190019 CHRISTUS ST FRANCES CABRINI HOSPITAL

Covered Entity Details

Entity Name

CHRISTUS ST FRANCES CABRINI HOSPITAL

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH190019

Entity Address

3330 MASONIC DRIVE
ALEXANDRIA, LA 71301

Medicare Provider Number

190019

Participating Start Date

4/1/2006

Last Recertification Date

8/16/2024

Pharmacy Details

Pharmacy Name

ONCOMED PHARMACEUTICAL SERVICES OF MA, I

Pharmacy Address

ONCOMED
150 BEAR HILL ROAD
WALTHAM, MA 02451

Pharmacy Comments

Contract Details

Approval Date

10/7/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/30/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Stephen F. Wright, President and CEO
(318) 448-6701

Contract Pharmacy Representative

Burt Zweigenhaft, CEO
(646) 356-7709

Signed By Date

10/7/2014

340B Drug Pricing Program Database