340B Drug Pricing Program Database
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DSH310070G SAINT PETER'S UNIVERSITY HOSPITAL (Active)
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Main Details
Name
SAINT PETER'S UNIVERSITY HOSPITAL
Subdivision Name
Saint Peter's University Hospital Adult Ambulatory Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310070G
Medicare Provider Number
310070
Outpatient Facility Provider Number
310070
Additional Details
Current Program Status
Active
Registration Date
4/10/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/5/2014
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Saint Peter's University Hospital
Garrick J. Stoldt, Chief Financial Officer
(732) 745-6651
Primary Contact
Saint Peter's University Hospital
Fatimah Muhammad, 340B Pharmaceutical Services Manager
(732) 745-8600 Ext: 8280
Addresses
Street Address
254 EASTON AVENUE
NEW BRUNSWICK, NJ 08901
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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