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DSH390114 UPMC Magee-Womens Hospital
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Covered Entity Details
Entity Name
UPMC Magee-Womens Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390114
Entity Address
300 HALKET STREET
PITTSBURGH, PA 15213
Medicare Provider Number
390114
Participating Start Date
4/1/2003
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
PINT SIZE PRESCRIPTIONS
Pharmacy Address
4401 PENN AVE FL 1
PITTSBURGH, PA 15224-1334
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ron Wesley Deems, CFO Mercy and Magee
(412) 576-8808
Contract Pharmacy Representative
UPMC
Lisa Rossi, Director, UPMC Retail Pharmacy Network
(412) 438-5049
Signed By Date
7/13/2021
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