340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SOUTH BROWARD HOSPITAL DISTRICT
DSH100038 MEMORIAL REGIONAL HOSPITAL
Print
Covered Entity Details
Entity Name
MEMORIAL REGIONAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100038
Entity Address
3501 Johnson Street
Hollywood, FL 33021
Medicare Provider Number
100038
Participating Start Date
10/1/2002
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
SOUTH BROWARD HOSPITAL DISTRICT
Pharmacy Address
MEMORIAL MIRAMAR OUTPATIENT PHARMACY
1951 SW 172ND AVE STE 107
MIRAMAR, FL 33029-5613
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
4/1/2020
Contract Comments
Contacts
Covered Entity Signing Official
ZEFF ROSS, CEO
(954) 265-5814
Contract Pharmacy Representative
Memorial Healthcare System
Gordon Garland, Director of Ambulatory Services
(954) 276-9801
Signed By Date
10/16/2017
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