340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDSTAR PHARMACY STORE # 6
DSH210034 HARBOR HOSPITAL INC.
Print
Covered Entity Details
Entity Name
HARBOR HOSPITAL INC.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH210034
Entity Address
3001 SOUTH HANOVER STREET
BALTIMORE, MD 21225
Medicare Provider Number
210034
Participating Start Date
10/1/2003
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MEDSTAR PHARMACY STORE # 6
Pharmacy Address
3001 S HANOVER ST STE 101
BALTIMORE, MD 21225
Pharmacy Comments
Contract Details
Approval Date
4/1/2004
Contract Begin Date
4/1/2004
Carve-In Effective Date
Contract Comments
5/5/08 ADMIN CORRECTION 340B ID # CHANGED (WAS DSH21225)
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
MedStar Health
Bonnie Levin, AVP, Pharmacy Services
(410) 772-6773
Signed By Date
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