340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PED083300-04 Nemours Children's Hospital, Delaware (Terminated)
Print
Main Details
Name
Nemours Children's Hospital, Delaware
Subdivision Name
Bryn Mawr / Outpatient Therapy Services
Type
Children's Hospital
Rural
No
340B ID
PED083300-04
Medicare Provider Number
083300
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/2/2015
Last Recertification Date
9/8/2022
Termination Date
Termination Reason
1/1/2023
Site closure
Contacts
Authorizing Official
Alfred I dupont Hospital or Children
Ryan Forman, Vice President of Finance
(302) 256-6060
Primary Contact
Alfred I duPont Hospital for Children
Robert Mullen, Vice President, Patient Operations
(302) 651-5711
Addresses
Street Address
825 Old Lancaster Road
Suite 250
Bryn Mawr, PA 19010
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session