340B Drug Pricing Program Database
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DSH470003BR UNIVERSITY OF VERMONT MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF VERMONT MEDICAL CENTER
Subdivision Name
Weekend Primary Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH470003BR
Medicare Provider Number
470003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/1/2018
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
University of Vermont Medical Center, Inc
Wesley McMillian, Network Vice President of Pharmacy
(802) 847-3546
Primary Contact
UNIVERSITY OF VERMONT MEDICAL CENTER
Minela Beric, Manager, Network 340B & Pharmacy Ops
(802) 542-3455
Addresses
Street Address
1 South Prospect Street
3rd Floor
Burlington, VT 05401
Billing Address
UNIVERSITY OF VERMONT MEDICAL CENTER
PO Box 1870
111 Colchester Avenue
Burlington, VT 05402
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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