Contract Pharmacy Details

UNIVERSITY OF MARYLAND MEDICAL SOLUTIONS
DSH210043 BALTIMORE WASHINGTON MEDICAL CENTER

Covered Entity Details

Entity Name

BALTIMORE WASHINGTON MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH210043

Entity Address

301 HOSPITAL DRIVE
GLEN BURNIE, MD 21061

Medicare Provider Number

210043

Participating Start Date

1/1/2025

Last Recertification Date

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

UNIVERSITY OF MARYLAND MEDICAL SOLUTIONS

Pharmacy Address

825 N HAMMONDS FERRY RD STE C
LINTHICUM HEIGHTS, MD 21090-1355

Pharmacy Comments

Contract Details

Approval Date

10/10/2024

Contract Begin Date

1/1/2025

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

William Brett McCone, SVP, Finance
(410) 787-4529

Contract Pharmacy Representative

UMMS
Christopher White, Sr. Director
(443) 462-3508

Signed By Date

10/8/2024

340B Drug Pricing Program Database