340B Drug Pricing Program Database
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DSH340061CT UNC Hospitals (Terminated)
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Main Details
Name
UNC Hospitals
Subdivision Name
UNC Hospitals - Molecular Imaging at Mason Farm
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340061CT
Medicare Provider Number
340061
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/8/2018
Last Recertification Date
9/17/2022
Termination Date
Termination Reason
7/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
UNC Hospitals
Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744
Primary Contact
UNC Hospitals
Roya Tran, 340B Pharmacist Coordinator
(984) 974-5661
Addresses
Street Address
125 Mason Farm Rd
Chapel Hill, NC 27514
Billing Address
UNC Shared Services Center
4400 Emperor Blvd
Suite 100
Durham, NC 27703
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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