340B Drug Pricing Program Database
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DSH080001AA CHRISTIANA CARE HEALTH SYSTEM (Terminated)
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Main Details
Name
CHRISTIANA CARE HEALTH SYSTEM
Subdivision Name
Nuclear Medicine Christiana - Nuclear Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH080001AA
Medicare Provider Number
080001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/21/2021
Last Recertification Date
8/16/2021
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Christiana Care Health System
Robert McMurray, Chief Financial Officer
(302) 623-7202
Primary Contact
Christiana Care Health System
Samuel Wetherill, Vice President, Pharmacy Services
(302) 733-3550
Addresses
Street Address
4755 Ogletown-Stanton Road
1640
Newark, DE 19718
Billing Address
Christiana Care Health System
4755 Ogletown-Stanton Road
Newark, DE 19718
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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