340B Drug Pricing Program Database
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DSH050100AB SHARP MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
SHARP MEMORIAL HOSPITAL
Subdivision Name
Sharp Home Care Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050100AB
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
7/1/2023
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
8080 Dagget St
Suite 200
San Diego, CA 92111
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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