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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
DSH070016 Saint Mary's Hospital
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Covered Entity Details
Entity Name
Saint Mary's Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH070016
Entity Address
56 Franklin Street
Waterbury, CT 06706
Medicare Provider Number
070016
Participating Start Date
4/1/2014
Last Recertification Date
8/23/2024
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
7/1/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sean M Fitzpatrick, Interim Chief Financial Officer
(860) 714-5360
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
7/1/2024
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