340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BIOSCRIP INFUSION SERVICES, LLC
DSH510030 DAVIS MEDICAL CENTER
Print
Covered Entity Details
Entity Name
DAVIS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510030
Entity Address
812 Gorman Avenue
ELKINS, WV 26241
Medicare Provider Number
510030
Participating Start Date
1/1/2005
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
BIOSCRIP INFUSION SERVICES, LLC
Pharmacy Address
DBA BIOSCRIP INFUSION SERVICES
2600 MIDDLETOWN COMMONS STE 131
WHITE HALL, WV 26554-2859
Pharmacy Comments
Contract Details
Approval Date
7/8/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/16/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
REBECCA J. HAMMER, VICE PRESIDENT FOR FINANCE
(304) 637-3156
Contract Pharmacy Representative
BioScrip
Tanya Sutton, General Manager
(304) 534-7080
Signed By Date
7/8/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session