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PED393302-00 UPMC CHILDREN'S HOSPITAL OF PITTSBURGH (Active)
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Main Details
Name
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Subdivision Name
Type
Children's Hospital
Rural
No
340B ID
PED393302-00
Medicare Provider Number
393302
Additional Details
Current Program Status
Active
Registration Date
12/8/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/15/2009
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
UPMC
Mario Edward Wilfong, CFO
(412) 692-8201
Primary Contact
UPMC
Amanda Pell, Manager, 340B Program
(814) 771-8354
Addresses
Street Address
4401 PENN AVENUE
PITTSBURGH, PA 15224
Billing Address
HC PHARMACY CENTRAL-PROCUREMENT
3175 E. CARSON STREET
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/16/2010- ADDED SHIPPING ADD.;
02/16/2010
May 2025
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