340B Drug Pricing Program Database
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DSH450015K DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH (Active)
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Main Details
Name
DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH
Subdivision Name
Clinics at the Dallas County Jail / Lew Sterrett Justice Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450015K
Medicare Provider Number
450015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/24/2008
Participating Start Date
9/24/2008
Participating Approval Date
9/24/2008
Last Recertification Date
8/22/2024
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
111 Commerce St
Dallas, TX 75207
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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