340B Drug Pricing Program Database
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DSH340030AC DUKE UNIVERSITY HOSPITAL (Active)
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Main Details
Name
DUKE UNIVERSITY HOSPITAL
Subdivision Name
Duke Outpatient Clinic - Smoking Cessation
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340030AC
Medicare Provider Number
340030
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/31/2023
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Duke University Health System, Duke University Hospital
Thomas Andrew Owens, Executive Vice President and COO, DUHS, President DUH
(919) 681-6624
Primary Contact
Duke University Health System
Marcus Gumbrecht, 340B Clinical Pharmacist
(919) 684-1791
Addresses
Street Address
4220 N. Roxboro Street
Second Floor
Durham, NC 27704
Billing Address
Duke Corporate Accounts Payable
Box 104131
Durham, NC 27708
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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