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INFUSION PARTNERS, LLC
DSH190098 University Health Shreveport, LLC
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Covered Entity Details
Entity Name
University Health Shreveport, LLC
Subdivision Name
UNIVERSITY HOSPITAL
Type
Disproportionate Share Hospital
340B ID
DSH190098
Entity Address
1541 KINGS HIGHWAY
SHREVEPORT, LA 71103
Medicare Provider Number
190098
Participating Start Date
1/1/1998
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
INFUSION PARTNERS, LLC
Pharmacy Address
DBA BIOSCRIP INFUSION SERVICES
1796 E. BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5560
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pat Keel, Chief Financial Officer
(318) 675-4864
Contract Pharmacy Representative
Rheana Jowers, Pharmacist-In-Charge
(318) 747-5080
Signed By Date
4/15/2015
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