340B Drug Pricing Program Database
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DSH340113CM CAROLINAS MEDICAL CENTER (Active)
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Main Details
Name
CAROLINAS MEDICAL CENTER
Subdivision Name
Atrium Health Neurosciences Institute / Infusion Service
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340113CM
Medicare Provider Number
340113
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/24/2023
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Atrium Health
Don McCoy Mabe, VP, Pharmacy
(704) 512-7623
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
1225 Harding Place
Suite 4200
Charlotte, NC 28204
Billing Address
Atrium Health Accounts Payable
PO Box 516
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (10/1/2017) until terminated effective date: (10/1/2021), reinstatement effective date : (10/1/2023)
08/24/2023
(Carolinas Medical Center DSH340113) and Atrium Health Pharmacy Kenilworth. It is an infusion pharmacy that is mixing the drugs that will be administered in the Atrium Health Neurosciences Institute Infusion Center. This shipping address will need to registered separately as a contract pharmacy (CP) if 340B Drugs are being dispensed***NOTE***Please remove this shipping address from this reinstatement within 5 days (08/22/23) to avoid registration from being rejected
08/18/2023
April 2025
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