340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CMC RX MORROCROFT
DSH340113F CAROLINAS MEDICAL CENTER
Print
Covered Entity Details
Entity Name
CAROLINAS MEDICAL CENTER
Subdivision Name
Levine Children's Specialty Center
Type
Disproportionate Share Hospital
340B ID
DSH340113F
Entity Address
1001 Blythe Blvd
Suite 200
CHARLOTTE, NC 28203
Medicare Provider Number
340113
Outpatient Facility Provider Number
Participating Start Date
4/1/2008
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
CMC RX MORROCROFT
Pharmacy Address
4525 CAMERON VALLEY PARKWAY
SUITE 1200
CHARLOTTE, NC 28211
Pharmacy Comments
Contract Details
Approval Date
2/2/2011
Contract Begin Date
2/2/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
1/21/2011
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