340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SINA DRUG LLC
DSH140276S LOYOLA UNIVERSITY MEDICAL CENTER
Print
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
SINA DRUG LLC
Pharmacy Address
DBA ONCO360
1985 MARCUS AVE STE 120
NEW HYDE PARK, NY 11042
Pharmacy Comments
08/02/2012 corrected name (was OncoMed Pharmacy)
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
Onco360
Frank Scimeca, Director of Pharmacy
(877) 662-6633
Signed By Date
10/15/2015
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