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CH03318U BALTIMORE MEDICAL SYSTEM, INC. (Terminated)
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Main Details
Name
BALTIMORE MEDICAL SYSTEM, INC.
Subdivision Name
Dr. Rayner Browne Elementary/Middle School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009155
340B ID
CH03318U
Grant Number
H80CS00800
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/16/2013
Last Recertification Date
2/24/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Paul Gleichauf, President and CEO
(410) 558-4891
Primary Contact
Baltimore Medical System,Inc.
Dawn Jacobs, Director of Pharmacy Services
(443) 703-3654
Addresses
Street Address
1000 N Montford Ave
Baltimore, MD 21213-3542
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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