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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
DSH290019 CARSON TAHOE REGIONAL HEALTHCARE
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Covered Entity Details
Entity Name
CARSON TAHOE REGIONAL HEALTHCARE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH290019
Entity Address
1600 MEDICAL PARKWAY
CARSON CITY, NV 89703
Medicare Provider Number
290019
Participating Start Date
10/1/2024
Last Recertification Date
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
8/27/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katie Kucera, Chief Financial Officer
(775) 445-8000 Ext: 5543
Contract Pharmacy Representative
BioPlus Specialty Pharmacy, Inc.
Ryan Rushing, Vice President of 340B Programs
(512) 541-0665
Signed By Date
8/16/2024
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