340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH100285A MEMORIAL HOSPITAL MIRAMAR (Active)
Print
Main Details
Name
MEMORIAL HOSPITAL MIRAMAR
Subdivision Name
MOB II - OUTPATIENT CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100285A
Medicare Provider Number
100285
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/19/2023
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Memorial Hospital Miramar
Stephen L Demers, CEO
(954) 538-4800
Primary Contact
Memorial Healthcare System
Alexsandra Soto, Director, 340B Program
(954) 276-1771
Addresses
Street Address
1971 SW 172nd Avenue
Miramar, FL 33029
Billing Address
Memoria Healthcare System
PO BOX 269001
Pembroke Pines, FL 33026
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session