340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BAPTIST HEALTH PHARMACY #107, LLC
DSH100154 South Miami Hospital
Print
Covered Entity Details
Entity Name
South Miami Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100154
Entity Address
6200 SW 73rd Street
South Miami, FL 33143
Medicare Provider Number
100154
Participating Start Date
9/9/2005
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
BAPTIST HEALTH PHARMACY #107, LLC
Pharmacy Address
1228 S PINE ISLAND RD STE 140
PLANTATION, FL 33324
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
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
10/17/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session