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ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO
DSH260113G MISSOURI DELTA MEDICAL CENTER
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Covered Entity Details
Entity Name
MISSOURI DELTA MEDICAL CENTER
Subdivision Name
Missouri Delta Cancer and Infusion Center
Type
Disproportionate Share Hospital
340B ID
DSH260113G
Entity Address
1126 North Main
Sikeston, MO 63801
Medicare Provider Number
260113
Outpatient Facility Provider Number
Participating Start Date
1/1/2014
Last Recertification Date
8/14/2024
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
4/6/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JASON SCHRUMPF, CEO
(573) 472-7600
Contract Pharmacy Representative
Onco360
Eric Smith, Director of Pharmacy
(877) 662-6633 Ext: 1602
Signed By Date
4/6/2016
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