340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ONCOMED PHARMACEUTICAL SERVICES OF MA, L
FQHCLA225 Maricopa County Special Health Care District
Print
Covered Entity Details
Entity Name
Maricopa County Special Health Care District
Subdivision Name
Type
Health Center Program Look-Alike
340B ID
FQHCLA225
Entity Address
2601 E. ROOSEVELT STREET
PHOENIX, AZ 85008
Grant Number
LALCS00037
Participating Start Date
10/1/2007
Last Recertification Date
2/15/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
ONCOMED PHARMACEUTICAL SERVICES OF MA, L
Pharmacy Address
D/B/A ONCO360
335 BEAR HILL RD
STE 2100
WALTHAM, MA 02451
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kris Gaw, Chief Operating Officer
(602) 344-1258
Contract Pharmacy Representative
OncoMed Pharmaceutical
Mina Saied, Director of Pharmacy
(877) 662-6633 Ext: 1320
Signed By Date
10/16/2017
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