340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEMORIAL HERMANN PHARMACY
DSH450848 Memorial Hermann Sugar Land Hospital
Print
Covered Entity Details
Entity Name
Memorial Hermann Sugar Land Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450848
Entity Address
17500 West Grand Parkway
Sugar Land, TX 77479
Medicare Provider Number
450848
Participating Start Date
1/1/2012
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
MEMORIAL HERMANN PHARMACY
Pharmacy Address
27700 NW FWY, STE 150
CYPRESS, TX 77433
Pharmacy Comments
Contract Details
Approval Date
1/18/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rebecca Tucker, VP, Finance
(713) 456-5340
Contract Pharmacy Representative
Memorial Hermann
Bonnie Richardson, Pharmacy Manager
(346) 231-6971
Signed By Date
1/18/2018
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