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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
CH05320U HealthNet, Inc.
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Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Salvation Army Harbor Light Center Clinic
Type
HRSA-Funded Health Center
340B ID
CH05320U
Entity Address
2400 N Tibbs Ave
Indianapolis, IN 46222-2458
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
BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
4740 VICTORY LN STE C
INDIANAPOLIS, IN 46203
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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