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HM29601 Prisma Health (Active)
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Main Details
Name
Prisma Health
Subdivision Name
DBA Hemostasis and Thrombosis Center of South Carolina - Upstate
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM29601
Grant Number
H30MC24046
Additional Details
Current Program Status
Active
Registration Date
4/12/2021
Participating Start Date
7/1/2021
Participating Approval Date
5/12/2021
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Prisma Health
Stephanie Ambrose, Medical Director - Hemophilia Treatment Center
(803) 434-3508
Primary Contact
Prisma Health
Abigail Bouknight, Manager 340B
(803) 920-3041
Addresses
Street Address
900 West Faris Road
2nd floor
Greenville, SC 29605
Billing Address
Prisma Health Hemophilia Treatment Center
7 Medical Park
Columbia, SC 29203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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