340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
US SPECIALTY CARE LLC
DSH250019 MEMORIAL HOSPITAL AT GULFPORT
Print
Covered Entity Details
Entity Name
MEMORIAL HOSPITAL AT GULFPORT
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250019
Entity Address
4500 Thirteenth Street
GULFPORT, MS 39501
Medicare Provider Number
250019
Participating Start Date
7/1/2000
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
US SPECIALTY CARE LLC
Pharmacy Address
DBA HEALTHDYNE SPECIALTY / WELLDYNE SPEC
500 EAGLES LANDING DR STE A
LAKELAND, FL 33810
Pharmacy Comments
Contract Details
Approval Date
10/20/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JEFF STEINER, VP OF FINANCE
(228) 865-3076
Contract Pharmacy Representative
Marlette Oelofson, Pharmacist
(888) 479-2000
Signed By Date
10/20/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session