Contract Pharmacy Details

DOGWOOD PHARMACY LLC
DSH210012 SINAI HOSPITAL OF BALTIMORE

Covered Entity Details

Entity Name

SINAI HOSPITAL OF BALTIMORE

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH210012

Entity Address

2401 WEST BELVEDERE AVENUE
BALTIMORE, MD 21215

Medicare Provider Number

210012

Participating Start Date

7/1/2003

Last Recertification Date

8/15/2024

Pharmacy Details

Pharmacy Name

DOGWOOD PHARMACY LLC

Pharmacy Address

D/B/A MEDSCRIPTS MEDICAL PHARMACY
1325 MILLER RD
STE K
GREENVILLE, SC 29607-6541

Pharmacy Comments

Contract Details

Approval Date

1/10/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

NEIL MELTZER, PRESIDENT/CEO
(410) 601-5134

Contract Pharmacy Representative

BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209

Signed By Date

1/10/2024

340B Drug Pricing Program Database