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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
CAH051301-00 Adventist Health Medical Center Tehachapi
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Covered Entity Details
Entity Name
Adventist Health Medical Center Tehachapi
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051301-00
Entity Address
1100 Magellan DR
Tehachapi, CA 93561
Medicare Provider Number
051301
Participating Start Date
10/1/2012
Last Recertification Date
9/4/2024
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
Jennifer Lavers, Chief Operating Officer
(661) 713-5431
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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