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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
CH05320V HealthNet, Inc.
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Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Salvation Army Family Shelter Clinic (women and children)
Type
HRSA-Funded Health Center
340B ID
CH05320V
Entity Address
540 N Alabama St
Indianapolis, IN 46204-1536
Grant Number
H80CS00114
Participating Start Date
4/1/2014
Last Recertification Date
2/25/2025
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
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Varon Edward Cantrell, Chief Medical Officer
(317) 957-2015
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
4/15/2024
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