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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
DSH240071 Allina Health Faribault Medical Center
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Covered Entity Details
Entity Name
Allina Health Faribault Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH240071
Entity Address
200 STATE AVENUE
FARIBAULT, MN 55021
Medicare Provider Number
240071
Participating Start Date
1/1/2016
Last Recertification Date
8/16/2024
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
7/10/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tony M Collins-Kwong, Director, Strategic Sourcing and Services, Pharmacy Services
(612) 262-4785
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
7/10/2024
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