340B Drug Pricing Program Database
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PED093300-00 Children's National Medical Center (Active)
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Main Details
Name
Children's National Medical Center
Subdivision Name
Type
Children's Hospital
Rural
No
340B ID
PED093300-00
Medicare Provider Number
093300
Additional Details
Current Program Status
Active
Registration Date
8/31/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/14/2012
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Childrens National Medical Center
Eric Manuel Balmir, VP Clinical Ancillary Svcs & Chief Pharmacy Officer
(202) 476-5553
Primary Contact
Children's National Medical Center
Michael Hagan, Pharmacy 340B Manager
(301) 572-6275
Addresses
Street Address
111 Michigan Avenue, NW
Washington, DC 20010-2970
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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