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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
PED053301-00 CHILDRENS HOSP & RES CNTR OAKLAND
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Covered Entity Details
Entity Name
CHILDRENS HOSP & RES CNTR OAKLAND
Subdivision Name
Type
Children's Hospital
340B ID
PED053301-00
Entity Address
747 52ND STREET
OAKLAND, CA 94609-1809
Medicare Provider Number
053301
Participating Start Date
10/1/2019
Last Recertification Date
8/12/2024
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
Ted Wang, VP & Chief Financial Officer
(510) 442-8030
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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