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PRAXIS SPECIALTY PHARMACY LLC
DSH140068 ROSELAND COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
ROSELAND COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140068
Entity Address
45 WEST 111TH STREET
CHICAGO, IL 60628
Medicare Provider Number
140068
Participating Start Date
10/1/2014
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
PRAXIS SPECIALTY PHARMACY LLC
Pharmacy Address
PRAXIS RX PHARMACY
5455 W WATERS AVE STE 214
TAMPA, FL 33634
Pharmacy Comments
Contract Details
Approval Date
4/14/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/21/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tim Egan, President
(773) 995-3015
Contract Pharmacy Representative
William Scott Bailey, Pharmacist in Charge
(888) 903-7453
Signed By Date
4/14/2015
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