340B Drug Pricing Program Database
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DSH340053AF 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 PMC Outpatient Observation Beds - Novant Health COH Med Surg 4SW
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340053AF
Medicare Provider Number
340053
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/27/2018
Last Recertification Date
8/23/2024
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
1901 Randolph Road
Charlotte, NC 28207
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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