340B Drug Pricing Program Database
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DSH070036D UCONN HEALTH (Active)
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Main Details
Name
UCONN HEALTH
Subdivision Name
Storrs Urgent Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070036D
Medicare Provider Number
070036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/9/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/9/2015
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
UConn Health
Kevin Chamberlin, Associate Vice President and Chief Pharmacy Officer
(860) 679-2281
Primary Contact
UConn Health
F. Bahar Matusik, Director for 340B Services
(860) 480-9159
Addresses
Street Address
1 Royce Circle
Suite 103
Storrs, CT 06268
Billing Address
John Dempsey Hospital
263 Farmington Ave
Farmington, CT 06030
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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