340B Drug Pricing Program Database
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DSH310001C HACKENSACK UNIVERSITY MEDICAL CENTER (Approved)
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Main Details
Name
HACKENSACK UNIVERSITY MEDICAL CENTER
Subdivision Name
HUMCCP MEDICAL PLAZA - HUMC CARDIO-VASCULAR
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310001C
Medicare Provider Number
310001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/1/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/8/2025
Last Recertification Date
Contacts
Authorizing Official
Hackensack Meridian Health
William James Carroll, VP, Chief Pharmacy Officer
(562) 233-6360
Primary Contact
Hackensack Meridian Health
Sheba Saggu, 340B Program Manager
(732) 324-4909
Addresses
Street Address
20 Prospect Avenue
Suite 201
Hackensack, NJ 07601
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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