340B Drug Pricing Program Database
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DSH050100AL SHARP MEMORIAL HOSPITAL (Active)
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Main Details
Name
SHARP MEMORIAL HOSPITAL
Subdivision Name
SHARP MEMORIAL HOSPITAL - Nemeth NICU Follow Up Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050100AL
Medicare Provider Number
050100
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/10/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/24/2019
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Sharp HealthCare
Tony Guerra, Chief Financial Officer
(858) 939-4090
Primary Contact
Sharp HealthCare
Zephyr T Skeets, 340B Specialist
(858) 499-2148
Addresses
Street Address
8010 Frost Street
Suite 402
San Diego, CA 92123
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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