Contract Pharmacy Details

UNC PHARMACY AT EASTOWNE
DSH340061 UNC Hospitals

Covered Entity Details

Entity Name

UNC Hospitals

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH340061

Entity Address

101 MANNING DR.
CHAPEL HILL, NC 27514

Medicare Provider Number

340061

Participating Start Date

12/1/1992

Last Recertification Date

9/9/2024

Pharmacy Details

Pharmacy Name

UNC PHARMACY AT EASTOWNE

Pharmacy Address

100 EASTOWNE DR
STE 1100
CHAPEL HILL, NC 27514

Pharmacy Comments

Contract Details

Approval Date

4/14/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744

Contract Pharmacy Representative

UNC Shared Services Cntr Pharmacy
Jeffrey Reichard, Executive Director of Pharmacy
(919) 616-0342

Signed By Date

4/14/2021

340B Drug Pricing Program Database