340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ONCOMED PHARMACEUTICAL SERVICES OF MA, I
DSH140276A LOYOLA UNIVERSITY MEDICAL CENTER
Print
Covered Entity Details
Entity Name
LOYOLA UNIVERSITY MEDICAL CENTER
Subdivision Name
LOYOLA UNIVERSITY MEDICAL CENTER - CARDINAL BERNARDIN CANCER CENTER
Type
Disproportionate Share Hospital
340B ID
DSH140276A
Entity Address
2160 SOUTH FIRST AVENUE
MAYWOOD, IL 60153-3304
Medicare Provider Number
140276
Outpatient Facility Provider Number
Participating Start Date
4/1/2010
Last Recertification Date
9/8/2024
Pharmacy Details
Pharmacy Name
ONCOMED PHARMACEUTICAL SERVICES OF MA, I
Pharmacy Address
ONCOMED
150 BEAR HILL ROAD
WALTHAM, MA 02451
Pharmacy Comments
Contract Details
Approval Date
4/20/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/4/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Daniel Post, Executive Vice President
(708) 216-1670
Contract Pharmacy Representative
Kevin C. Ellsworth, Chief Financial Officer
(502) 416-1483
Signed By Date
4/20/2014
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