340B Drug Pricing Program Database
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DSH450848 Memorial Hermann Sugar Land Hospital (Active)
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Main Details
Name
Memorial Hermann Sugar Land Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450848
Medicare Provider Number
450848
Additional Details
Current Program Status
Active
Registration Date
12/16/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/19/2011
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Memorial Hermann
Robert C Ogden, Associate Vice President of Finance
(713) 456-5111
Primary Contact
Memorial Hermann
Eric John Wucki, Director of Pharmacy-340B
(262) 527-2475
Addresses
Street Address
17500 West Grand Parkway
Sugar Land, TX 77479
Billing Address
Memorial Hermann
929 Gessner Rd, Suite 2690
Houston, TX 77024
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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