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SINA DRUG LLC
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
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
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
Frank Scimeca, Director of Pharmacy
(877) 662-6633
Signed By Date
4/6/2016
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