340B Drug Pricing Program Database
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DSH340166 Atrium Health University City (Active)
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Main Details
Name
Atrium Health University City
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340166
Medicare Provider Number
340166
Additional Details
Current Program Status
Active
Registration Date
2/28/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/30/2012
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Atrium Health
Don McCoy Mabe, VP, Pharmacy
(704) 512-7623
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
8800 North Tryon Street
Charlotte, NC 28262
Billing Address
Atrium Health Accounts Payable
PO Box 516
Elmsford, NY 10523-5379
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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