340B Drug Pricing Program Database
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DSH390164DW UPMC - PRESBYTERIAN SHADYSIDE (Active)
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Main Details
Name
UPMC - PRESBYTERIAN SHADYSIDE
Subdivision Name
PUH-Benign Hematology (31584) - Benign Hematology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390164DW
Medicare Provider Number
390164
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/18/2022
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
UPMC Aids Center for Treatment
Jared Weiner, CFO, UPMC Presbyterian Shadyside
(412) 864-7000
Primary Contact
UPMC Presbyterian Shadyside
William Zacharie Camp, 340B Manager
(740) 606-0376
Addresses
Street Address
3601 Fifth Avenue
Suite 3A
Pittsburgh, PA 15213
Billing Address
HC Pharmacy Central Inc.
3175 East Carson Street
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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