340B Drug Pricing Program Database
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DSH390028Q UPMC MERCY (Active)
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Main Details
Name
UPMC MERCY
Subdivision Name
Wound Center - (36846)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390028Q
Medicare Provider Number
390028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/8/2022
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
UPMC
Jonathan Petrie, CFO UPMC Magee and Mercy
(412) 578-9416
Primary Contact
UPMC Mercy
Sandra Elizabeth Nickman, Pharmacy, Director
(724) 396-8449
Addresses
Street Address
1515 Locust Street
4th Floor
Pittsburgh, PA 15219
Billing Address
HC Pharmacy Central - Procurement
3175 East Carson Street
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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