340B Drug Pricing Program Database
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DSH050100X SHARP MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
SHARP MEMORIAL HOSPITAL
Subdivision Name
Sharp Memorial Outpatient Pavilion - Ophthalmology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050100X
Medicare Provider Number
050100
Outpatient Facility Provider Number
050100
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/3/2014
Last Recertification Date
9/7/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Sharp HealthCare
Tony Guerra, Chief Financial Officer
(858) 939-4090
Primary Contact
Sharp HealthCare
Susan Sachs, System Pharmacy Manager
(858) 499-4220
Addresses
Street Address
3075 Health Center Dr
San Diego, CA 92123
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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