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HILLMAN CENTER PHARMACY
PED393302-00 UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
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Covered Entity Details
Entity Name
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Subdivision Name
Type
Children's Hospital
340B ID
PED393302-00
Entity Address
4401 PENN AVENUE
PITTSBURGH, PA 15224
Medicare Provider Number
393302
Participating Start Date
1/1/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
HILLMAN CENTER PHARMACY
Pharmacy Address
5115 CENTRE AVE RM AG30.1
PITTSBURGH, PA 15232
Pharmacy Comments
Contract Details
Approval Date
7/12/2011
Contract Begin Date
7/15/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
6/2/2011
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