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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
RWI946091 Primary Care at Home, INC.
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Covered Entity Details
Entity Name
Primary Care at Home, INC.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI946091
Entity Address
400 - 29th Street
Suite 306
Oakland, CA 94609
Grant Number
H89HA00018
Participating Start Date
5/10/2021
Last Recertification Date
2/12/2025
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
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anh T Nguyen, Board Secretary
(510) 320-2711
Contract Pharmacy Representative
BioPlus
Jeremy Richardson, Vice President of Strategy & Commercial Growth
(317) 730-7705
Signed By Date
4/8/2025
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