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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
DSH150008 ST CATHERINE HOSPITAL
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Covered Entity Details
Entity Name
ST CATHERINE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150008
Entity Address
4321 FIR STREET
EAST CHICAGO, IN 46312
Medicare Provider Number
150008
Participating Start Date
9/9/2005
Last Recertification Date
8/26/2024
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
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leo Correa, ADMINISTRATOR-CEO
(219) 392-7004
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
7/9/2024
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