340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAKEMED OUTPATIENT PHARMACY
DSH340069 WAKEMED
Print
Covered Entity Details
Entity Name
WAKEMED
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340069
Entity Address
3000 NEW BERN AVENUE
RALEIGH, NC 27610
Medicare Provider Number
340069
Participating Start Date
1/1/2016
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WAKEMED OUTPATIENT PHARMACY
Pharmacy Address
3000 NEW BERN AVE
RALEIGH, NC 27610
Pharmacy Comments
Contract Details
Approval Date
10/12/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DONALD GINTZIG, President and CEO
(919) 350-8102
Contract Pharmacy Representative
WakeMed
Alex Jenkins, Ambulatory Services Manager
(919) 350-7065
Signed By Date
10/12/2022
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