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SINA DRUG LLC
CHC26598-00 Maury Regional Hospital
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Covered Entity Details
Entity Name
Maury Regional Hospital
Subdivision Name
Lewis Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26598-00
Entity Address
617 W Main St
Hohenwald, TN 38462-1355
Grant Number
H80CS26598
Participating Start Date
10/1/2014
Last Recertification Date
2/12/2025
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
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/2/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah Lumpkins, CNO - VP of Patient Care Services
(931) 490-7118
Contract Pharmacy Representative
Onco360
Heather Jacobs, 340B Account Manager
(612) 387-8282
Signed By Date
4/14/2016
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