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ONCOMED THE ONCOLOGY PHARMACY OF PHILADE
PED453315-00 CHRISTUS Children's
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Covered Entity Details
Entity Name
CHRISTUS Children's
Subdivision Name
Type
Children's Hospital
340B ID
PED453315-00
Entity Address
333 North Santa Rosa Street
San Antonio, TX 78207
Medicare Provider Number
453315
Participating Start Date
4/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
ONCOMED THE ONCOLOGY PHARMACY OF PHILADE
Pharmacy Address
LLC DBA ONCO360
1553 CHESTER PIKE SUITE 206
CRUM LYNNE, PA 19022
Pharmacy Comments
Contract Details
Approval Date
4/13/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Kirks, Regional VP/CFO
(210) 704-2624
Contract Pharmacy Representative
Tom Corrigan, Pharmacist in Charge
(877) 662-6633 Ext: 1501
Signed By Date
4/13/2015
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