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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
CAH201314-00 REDINGTON-FAIRVIEW GENERAL HOSPITAL
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Covered Entity Details
Entity Name
REDINGTON-FAIRVIEW GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201314-00
Entity Address
46 FAIRVIEW AVE
SKOWHEGAN, ME 04976
Medicare Provider Number
201314
Participating Start Date
4/1/2011
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Pharmacy Address
BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
145 S 79TH ST STE 70
CHANDLER, AZ 85226
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ELMER DOUCETTE, CHIEF FINANCIAL OFFICER
(207) 858-2176
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
4/12/2024
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