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BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
SCH060006-00 MONTROSE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MONTROSE MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH060006-00
Entity Address
800 S Third Street
MONTROSE, CO 81401
Medicare Provider Number
060006
Participating Start Date
7/1/2025
Last Recertification Date
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
4/22/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Richard Perrotti, CFO
(970) 252-2659
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
4/14/2025
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