340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALNUT HOME THERAPEUTICS
DSH390115 Jefferson Health Northeast
Print
Covered Entity Details
Entity Name
Jefferson Health Northeast
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390115
Entity Address
10800 Knights Rd.
PHILADELPHIA, PA 19114
Medicare Provider Number
390115
Participating Start Date
10/1/2017
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WALNUT HOME THERAPEUTICS
Pharmacy Address
3500 HORIZON DRIVE
KING OF PRUSSIA, PA 19406
Pharmacy Comments
Contract Details
Approval Date
1/22/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Degnan, Vice President of Finance
(215) 710-3741
Contract Pharmacy Representative
Aria Health
Dominic Webster, Administrative Director - Pharmacy Services
(215) 612-4180
Signed By Date
1/22/2018
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