340B Drug Pricing Program Database
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DSH340061BT UNC Hospitals (Terminated)
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Main Details
Name
UNC Hospitals
Subdivision Name
UNC Hospitals Pain Management and Neurosurgery Hillsborough Campus – Chronic Pain
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340061BT
Medicare Provider Number
340061
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/12/2016
Last Recertification Date
9/3/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
UNC Hospitals
Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744
Primary Contact
UNC Hospitals
Roya Tran, 340B Pharmacist Coordinator
(984) 974-5661
Addresses
Street Address
460 Waterstone Drive
Hillsborough, NC 27278
Billing Address
UNC Hospitals Pharmacy
4400 Emperor Blvd
Suite 100
Durham, NC 27703
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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