340B Drug Pricing Program Database
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WALNUT HOME THERAPEUTICS
DSH310086 KENNEDY MEMORIAL HOSPITAL-UMC
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Covered Entity Details
Entity Name
KENNEDY MEMORIAL HOSPITAL-UMC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310086
Entity Address
18 East Laurel Road
Stratford, NJ 08084
Medicare Provider Number
310086
Participating Start Date
4/1/2016
Last Recertification Date
9/4/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALNUT HOME THERAPEUTICS
Pharmacy Address
3500 HORIZON DRIVE
KING OF PRUSSIA, PA 19406
Pharmacy Comments
Contract Details
Approval Date
7/16/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kimberly Alliano, VP of Finance
(856) 661-5184
Contract Pharmacy Representative
Walnut Home Therapeutics
Thomas Brown, Director, Health Ventures
(215) 955-5200
Signed By Date
7/16/2019
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