340B Drug Pricing Program Database
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PED393302-40 UPMC CHILDREN'S HOSPITAL OF PITTSBURGH (Active)
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Main Details
Name
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Subdivision Name
CHP-Pulmonology North - (31315)
Type
Children's Hospital
Rural
No
340B ID
PED393302-40
Medicare Provider Number
393302
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/10/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/27/2023
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
UPMC
Mario Edward Wilfong, CFO
(412) 692-8201
Primary Contact
UPMC
Amanda Pell, Manager, 340B Program
(814) 771-8354
Addresses
Street Address
2599 Wexford-Bayne Road
Wexford, PA 15143
Billing Address
HC PHARMACY CENTRAL - PROCUREMENT
3175 E. CARSON ST
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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