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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
CAH181311-00 ST ELIZABETH HEALTHCARE GRANT COUNTY
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Covered Entity Details
Entity Name
ST ELIZABETH HEALTHCARE GRANT COUNTY
Subdivision Name
ST ELIZABETH GRANT COUNTY
Type
Critical Access Hospital
340B ID
CAH181311-00
Entity Address
238 BARNES RD
WILLIAMSTOWN, KY 41097
Medicare Provider Number
181311
Participating Start Date
10/1/2018
Last Recertification Date
8/19/2024
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
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori Ritchey-Baldwin, CFO
(859) 655-1642
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
10/15/2024
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