340B Drug Pricing Program Database
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DSH340069BS WAKEMED (Approved)
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Main Details
Name
WAKEMED
Subdivision Name
WakeMed Wendell Healthplex - CV Testing - EKG - CV Testing - EKG
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340069BS
Medicare Provider Number
340069
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/8/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/3/2025
Last Recertification Date
Contacts
Authorizing Official
Wakemed
DONALD GINTZIG, President and CEO
(919) 350-8102
Primary Contact
Wakemed
Abbie Crisp Williamson, Executive Director of Pharmacy
(919) 350-8240
Addresses
Street Address
WakeMed Wendell Healthplex
2021 Wendell Valley Blvd
Wendell, NC 27591
Billing Address
WakeMed Wendell Healthplex
Attn: Accounts Payable
PO Box 14549
Raleigh, NC 27620
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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