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ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO
DSH140276S LOYOLA UNIVERSITY MEDICAL CENTER
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Covered Entity Details
Entity Name
LOYOLA UNIVERSITY MEDICAL CENTER
Subdivision Name
LOYOLA PRIMARY CARE CENTER AT WHEATON
Type
Disproportionate Share Hospital
340B ID
DSH140276S
Entity Address
Loyola University Wheaton Pharmacy
140 EAST LOOP ROAD
WHEATON, IL 60189-8407
Medicare Provider Number
140276
Outpatient Facility Provider Number
Participating Start Date
4/1/2010
Last Recertification Date
8/25/2016
Entity Termination Date
7/1/2017
Pharmacy Details
Pharmacy Name
ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO
Pharmacy Address
D/B/A ONCO360
140 JOHN JAMES AUDUBON PKWY STE 101
AMHERST, NY 14228
Pharmacy Comments
Contract Details
Approval Date
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Contacts
Covered Entity Signing Official
Daniel Post, Executive Vice President
(708) 216-1670
Contract Pharmacy Representative
ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO
Eric Saul, Director of Pharmacy
(877) 662-6633 Ext: 1601
Signed By Date
10/15/2015
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