340B Drug Pricing Program Database
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DSH340053AD Presbyterian Hospital, d/b/a Novant Health Presbyterian Medical Center (Active)
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Main Details
Name
Presbyterian Hospital, d/b/a Novant Health Presbyterian Medical Center
Subdivision Name
Novant Health Cancer Institute - Ballantyne
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340053AD
Medicare Provider Number
340053
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/18/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/28/2017
Last Recertification Date
8/27/2024
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
10905 Providence Road West
Suite 150
Charlotte, NC 28277-3383
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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