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NOVIXUS PHARMACY SERVICES
SCH190088-00 SPRINGHILL MEDICAL CENTER - AMENDED
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Covered Entity Details
Entity Name
SPRINGHILL MEDICAL CENTER - AMENDED
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH190088-00
Entity Address
2001 DOCTORS DRIVE
SPRINGHILL, LA 71075
Medicare Provider Number
190088
Participating Start Date
1/1/2018
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
NOVIXUS PHARMACY SERVICES
Pharmacy Address
43159 W 9 MILE RD.
NOVI, MI 48375-4117
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/5/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Vincent R Sedminik, CEO
(318) 539-1001
Contract Pharmacy Representative
Novixus Pharmacy Services
Richard Grossman, Vice President of Pharmacy Services
(248) 380-2105
Signed By Date
1/12/2018
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