340B Drug Pricing Program Database
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DSH230230AL EDWARD W SPARROW HOSPITAL ASSOCIATION (Active)
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Main Details
Name
EDWARD W SPARROW HOSPITAL ASSOCIATION
Subdivision Name
Sparrow Medical Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230230AL
Medicare Provider Number
230230
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/12/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/1/2016
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
University of Michigan
Dana Habers, Chief Operating Officer, Pharmacy
(323) 240-3032
Primary Contact
University of Michigan
Cindy Gillespie, Assistant Director, Pharmacy 340B Program
(734) 615-5867
Addresses
Street Address
1140 East Michigan Avenue
SPARROW REGIONAL CANCER CENTER
Suite 200
LANSING, MI 48912-1811
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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