340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
UNIVERSITY MEDICAL CENTER PHARMACY
DSH050060AJ COMMUNITY REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
COMMUNITY REGIONAL MEDICAL CENTER
Subdivision Name
Home Program Dialysis
Type
Disproportionate Share Hospital
340B ID
DSH050060AJ
Entity Address
215 N. Fresno Street, ste. 150
Fresno, CA 93701
Medicare Provider Number
050060
Outpatient Facility Provider Number
Participating Start Date
10/1/2017
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
UNIVERSITY MEDICAL CENTER PHARMACY
Pharmacy Address
290 N WAYTE LN FL 1
FRESNO, CA 93701-2124
Pharmacy Comments
Contract Details
Approval Date
7/6/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tracy Kiritani, VP Hospital Financial Operations
(559) 324-4844
Contract Pharmacy Representative
University Medical Center Pharmacy
Scott Evans, Pharmacy Manager
(559) 459-3578
Signed By Date
7/6/2020
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