340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ONCO360
DSH450021 BAYLOR UNIVERSITY MEDICAL CTR
Print
Covered Entity Details
Entity Name
BAYLOR UNIVERSITY MEDICAL CTR
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450021
Entity Address
3500 GASTON AVENUE
DALLAS, TX 75246
Medicare Provider Number
450021
Participating Start Date
3/7/2023
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
ONCO360
Pharmacy Address
SINA DRUG, LLC
4700 W SAM HOUSTON PKWY N
STE 150
HOUSTON, TX 77041
Pharmacy Comments
Contract Details
Approval Date
10/11/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kyle Armstrong, President
(214) 820-3101
Contract Pharmacy Representative
Sina Drugs
shauna barron, Director of Pharmacy
(877) 662-6633 Ext: 2001
Signed By Date
10/11/2024
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