340B Drug Pricing Program Database
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DSH210002W UNIVERSITY OF MARYLAND MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF MARYLAND MEDICAL CENTER
Subdivision Name
UMH: MULTI D CLINIC TOWSON
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210002W
Medicare Provider Number
210002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/23/2025
Last Recertification Date
Contacts
Authorizing Official
University of Maryland Medical Center
Joseph Dicubellis, Senior Director of Pharmacy
(410) 328-6746
Primary Contact
University of Maryland Medical Center
Robert Stachowski, Director of Business and 340B Operations
(410) 328-6886
Addresses
Street Address
7601 Osler Drive
Suite 100
Towson, MD 21204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2019. Terminated 10/1/2024. Reinstated 4/1/2025.
01/21/2025
June 2025
June 2025
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