340B Drug Pricing Program Database
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RRC490046-00 SENTARA LEIGH HOSPITAL (Active)
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Main Details
Name
SENTARA LEIGH HOSPITAL
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC490046-00
Medicare Provider Number
490046
Additional Details
Current Program Status
Active
Registration Date
4/7/2022
Participating Start Date
7/1/2022
Participating Approval Date
5/2/2022
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Sentara Leigh Hospital
Tim O'Brien, Vice President
(757) 261-8610
Primary Contact
Sentara Leigh Hospital
Nicole Lazar, Pharmacy Manager - Primary Contact
(757) 261-8037
Addresses
Street Address
830 KEMPSVILLE ROAD
NORFOLK, VA 23502
Billing Address
SENTARA LEIGH HOSPITAL
1300 Sentara Park
Virginia Beach, VA 23464
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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