340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PED453302-02 CHILDREN'S MEDICAL CENTER DALLAS (Terminated)
Print
Main Details
Name
CHILDREN'S MEDICAL CENTER DALLAS
Subdivision Name
DALLAS AMBULATORY CARE PAVILION
Type
Children's Hospital
Rural
No
340B ID
PED453302-02
Medicare Provider Number
453302
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
3/25/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/25/2010
Last Recertification Date
8/16/2016
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
Children's Health
David T Berry, CHST President, System Clinical Operations
(214) 456-2143
Primary Contact
Children's Health System of Texas
Michelle Kromelis, Senior Director of Pharmacy
(214) 456-6203
Addresses
Street Address
2350 STEMMONS FREEWAY
DALLAS, TX 75207
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session