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SINA DRUG, LLC D/B/A ONCO360
DSH030006 TUCSON MEDICAL CENTER
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Covered Entity Details
Entity Name
TUCSON MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH030006
Entity Address
5301 E GRANT ROAD
TUCSON, AZ 85712
Medicare Provider Number
030006
Participating Start Date
4/1/2005
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
SINA DRUG, LLC D/B/A ONCO360
Pharmacy Address
15990 N GREENWAY HAYDEN LOOP STE D-100
SCOTTSDALE, AZ 85260
Pharmacy Comments
Contract Details
Approval Date
4/2/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Reichling, CFO
(520) 327-5461
Contract Pharmacy Representative
Onco360
Nicholas Assif, Director of Pharmacy
(877) 662-6633 Ext: 2500
Signed By Date
4/2/2025
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