340B Drug Pricing Program Database
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HM28204 Presbyterian Hospital, dba Novant Health Presbyterian Medical Center (Active)
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Main Details
Name
Presbyterian Hospital, dba Novant Health Presbyterian Medical Center
Subdivision Name
St. Jude Affiliate Clinic at Novant Health Hemby Children's Hospital
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM28204
Grant Number
H30MC24046
Additional Details
Current Program Status
Active
Registration Date
4/7/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/18/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Novant Health, Inc.
Rebecca A Bean, SVP Chief Pharmacy Executive
(336) 277-5862
Primary Contact
Novant Health, Inc
Elizabeth Anne Corazzo, Pharmacy Manager 340B
(336) 277-0301
Addresses
Street Address
301 Hawthorne Lane
Suite 100
Charlotte, NC 28204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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