340B Drug Pricing Program Database
UMASS MEMORIAL MEDICAL CENTER, INC.
HM01655 UMass Memorial Healthcare - information as of 4/28/2025 12:05:44 AM
Covered Entity Details
Entity Name
UMass Memorial Healthcare
Subdivision Name
NEW ENGLAND HEMOPHILIA CENTER AT UMASS MEMORIAL
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM01655
Entity Address
55 Lake Avenue
HI-759B
WORCESTER, MA 01655
Grant Number
H30MC24048
Participating Start Date
4/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
UMASS MEMORIAL MEDICAL CENTER, INC.
Pharmacy Address
UMASS MEMORIAL MEDICAL CENTER SPECIALTY
55 LAKE AVE N
ACC BUILDING - 1ST FLOOR - SUITE AC1.033
WORCESTER, MA 01655-0002
Pharmacy Comments
Contract Details
Approval Date
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terri Russo, Senior Director
(774) 442-6890
Contract Pharmacy Representative
UMass Memorial
Harshvina Patel, Pharmacy Manager
(888) 639-3988
Signed By Date
7/17/2017
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