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EVERSANA LIFE SCIENCE SERVICES, LLC
HM83712 ST LUKE'S REGIONAL MEDICAL CENTER, LTD
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Covered Entity Details
Entity Name
ST LUKE'S REGIONAL MEDICAL CENTER, LTD
Subdivision Name
ST. LUKE'S HEMOPHILIA CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM83712
Entity Address
100 E. IDAHO ST.
BOISE, ID 83712
Grant Number
H30MC240491300
Participating Start Date
1/1/2007
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
EVERSANA LIFE SCIENCE SERVICES, LLC
Pharmacy Address
17877 CHESTERFIELD AIRPORT ROAD
CHESTERFIELD, MO 63005-1211
Pharmacy Comments
Contract Details
Approval Date
7/25/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/15/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Peter DiDio, Vice President, Controller
(208) 381-1251
Contract Pharmacy Representative
Centric Health Resources
Chad Forinash, VP , Patient Dispensing
(314) 852-8687
Signed By Date
7/25/2014
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