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SINA DRUG, LLC D/B/A ONCO360
DSH050174 ST Joseph Health Northern California LLC-DBA Santa Rosa Memorial Hospital
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Covered Entity Details
Entity Name
ST Joseph Health Northern California LLC-DBA Santa Rosa Memorial Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050174
Entity Address
1165 MONTGOMERY DRIVE
Santa Rosa, CA 95405
Medicare Provider Number
050174
Participating Start Date
4/1/2015
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
SINA DRUG, LLC D/B/A ONCO360
Pharmacy Address
15990 N GREENWAY HAYDEN LOOP STE D-100
SCOTTSDALE, AZ 85260
Pharmacy Comments
Contract Details
Approval Date
7/25/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/13/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Erika Wright, CFO
(707) 525-5300
Contract Pharmacy Representative
Onco360 Oncology Pharmacy
Jim Bozora, VP of 340B Oncology Sales
(702) 281-5985
Signed By Date
7/25/2023
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