340B Drug Pricing Program Database
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PED093300-21 Children's National Medical Center (Active)
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Main Details
Name
Children's National Medical Center
Subdivision Name
Montgomery County Regional / Cardiology
Type
Children's Hospital
Rural
No
340B ID
PED093300-21
Medicare Provider Number
093300
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/6/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/22/2017
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Childrens National Medical Center
Eric Manuel Balmir, VP Clinical Ancillary Svcs & Chief Pharmacy Officer
(202) 476-5553
Primary Contact
Children's National Medical Center
Michael Hagan, Pharmacy 340B Manager
(301) 572-6275
Addresses
Street Address
9850 Key West Avenue 4th Floor
Rockville, MD 20850
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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