340B Drug Pricing Program Database
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DSH470003BW UNIVERSITY OF VERMONT MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF VERMONT MEDICAL CENTER
Subdivision Name
Comprehensive Pain Program
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH470003BW
Medicare Provider Number
470003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/9/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/3/2019
Last Recertification Date
8/26/2024
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
118 Tilley Drive
Suite 201
South Burlington, VT 05403-4450
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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