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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
STD85140 Institute for Liver Health
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Covered Entity Details
Entity Name
Institute for Liver Health
Subdivision Name
Flagstaff
Type
Sexually Transmitted Diseases
340B ID
STD85140
Entity Address
1150 North San Francisco St.
Flagstaff, AZ 86001
Grant Number
nu51ps005142
Participating Start Date
1/1/2022
Last Recertification Date
5/5/2025
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
1/13/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anita Kohli, CEO
(434) 825-0921
Contract Pharmacy Representative
BioPlus
Todd Weber, Director Carelonrx 340b Contract Sales
(888) 292-0744
Signed By Date
1/13/2025
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