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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
CAH321311-00 GILA REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
GILA REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH321311-00
Entity Address
1313 EAST 32ND STREET
SILVER CITY, NM 88061
Medicare Provider Number
321311
Participating Start Date
7/1/2022
Last Recertification Date
8/13/2024
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
Matthew C Stephens, Associate Administrator
(575) 538-4041
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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