340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BANNER FAMILY PHARMACY - UNIVERSITY MED
DSH030111 Banner – University Medical Center South
Print
Covered Entity Details
Entity Name
Banner – University Medical Center South
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH030111
Entity Address
2800 EAST AJO WAY
TUCSON, AZ 85713
Medicare Provider Number
030111
Participating Start Date
4/1/2006
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
BANNER FAMILY PHARMACY - UNIVERSITY MED
Pharmacy Address
2800 E AJO WAY
TUCSON, AZ 85713
Pharmacy Comments
Contract Details
Approval Date
1/5/2016
Contract Begin Date
1/7/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cliff Loader, Chief Financial Officer
(602) 839-2675
Contract Pharmacy Representative
Michael Young, Sr. Director Retail Pharmacy
(602) 747-2338
Signed By Date
1/5/2016
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