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SINA DRUG, LLC D/B/A ONCO360
DSH050441 STANFORD HEALTH CARE
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Covered Entity Details
Entity Name
STANFORD HEALTH CARE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050441
Entity Address
300 PASTEUR DRIVE
Stanford, CA 94305
Medicare Provider Number
050441
Participating Start Date
7/1/2015
Last Recertification Date
8/20/2024
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
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Linda Hoff, CFO
(650) 497-0391
Contract Pharmacy Representative
Onco360
Nicholas Assif, Director of Pharmacy
(877) 662-6633 Ext: 2500
Signed By Date
4/11/2025
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