340B Drug Pricing Program Database
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DSH450015CU DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH (Active)
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Main Details
Name
DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH
Subdivision Name
Radiology Procedures Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450015CU
Medicare Provider Number
450015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/10/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/17/2018
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Parkland Health
Vivian B. Johnson, Senior Vice President
(469) 419-1946
Primary Contact
Parkland Health
Mayank Shah, Pharmacy 340B Program Manager
(469) 419-1964
Addresses
Street Address
5184 Tex Oak Avenue
Dallas, TX 75235
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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