340B Drug Pricing Program Database
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DSH230046AY UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS (Active)
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Main Details
Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
Dominos - Plastic Surgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230046AY
Medicare Provider Number
230046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/29/2014
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
University of Michigan
Dana Habers, Chief Operating Officer, Pharmacy
(734) 936-4338
Primary Contact
University of Michigan
Cindy Gillespie, Assistant Director, Pharmacy 340B Program
(734) 615-5867
Addresses
Street Address
24 Frank Lloyd Wright Dr
4008 Ave Maria Dr. Lobby A, Suite 1200
Ann Arbor, MI 48105
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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