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NATION'S INFUSION AT HOME, LLC
DSH210012 SINAI HOSPITAL OF BALTIMORE
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Covered Entity Details
Entity Name
SINAI HOSPITAL OF BALTIMORE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH210012
Entity Address
2401 WEST BELVEDERE AVENUE
BALTIMORE, MD 21215
Medicare Provider Number
210012
Participating Start Date
7/1/2003
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
NATION'S INFUSION AT HOME, LLC
Pharmacy Address
NATION'S INFUSION AT HOME, LLC
11521 CRONRIDGE DR STE L
OWINGS MILLS, MD 21117
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
NEIL MELTZER, PRESIDENT/CEO
(410) 601-5134
Contract Pharmacy Representative
Nations Infusion at Home, LLC
Michele Compton-Plummer, Director of Pharmacy
(410) 753-3912
Signed By Date
10/14/2024
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