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HM29203 Prisma Health (Active)
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Main Details
Name
Prisma Health
Subdivision Name
DBA Hemostasis and Thrombosis Center of South Carolina
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM29203
Grant Number
H30MC24046
Additional Details
Current Program Status
Active
Registration Date
9/25/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/25/2009
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Prisma Health
Stephanie Ambrose, Medical Director - Hemophilia Treatment Center
(803) 434-3508
Primary Contact
Prisma Health
Abigail Bouknight, Manager 340B
(803) 920-3041
Addresses
Street Address
14 Richland Medical Park Drive
Suite 410
COLUMBIA, SC 29203
Billing Address
Prisma Health
7 Richland Medical Park
Columbia, SC 29203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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