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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
CHC08238-16 Change, Incorporated
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Covered Entity Details
Entity Name
Change, Incorporated
Subdivision Name
FMC SBHC Brooke Intermediate North
Type
HRSA-Funded Health Center
340B ID
CHC08238-16
Entity Address
1098 Jefferson St
Follansbee, WV 26037-1311
Grant Number
H80CS08238
Participating Start Date
1/1/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Pharmacy Address
376 NORTHLAKE BLVD
ALTAMONTE SPRINGS, FL 32701-5261
Pharmacy Comments
Contract Details
Approval Date
1/9/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Mowry, CEO
(304) 797-7733 Ext: 1311
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
1/9/2024
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