340B Drug Pricing Program Database
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DSH450015FP DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH (Approved)
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Main Details
Name
DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH
Subdivision Name
Parkland Health - Mental Health Clinic - Vickery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450015FP
Medicare Provider Number
450015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/8/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/16/2025
Last Recertification Date
Contacts
Authorizing Official
Parkland Health
Vivian B. Johnson, Senior Vice President
(469) 419-1946
Primary Contact
Parkland Health
Mayank Shah, Pharmacy 340B Program Manager
(469) 419-1964
Addresses
Street Address
8224 Park Lane, Suite 130
Dallas, TX 75231
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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