340B Drug Pricing Program Database
DIPLOMAT SPECIALTY PHARMACY
DSH220019 UMass Memorial Health - Harrington Hospital, Inc. - information as of 6/21/2025 12:38:53 AM
Covered Entity Details
Entity Name
UMass Memorial Health - Harrington Hospital, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220019
Entity Address
100 SOUTH STREET
SOUTHBRIDGE, MA 01550
Medicare Provider Number
220019
Participating Start Date
7/1/2009
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
DIPLOMAT SPECIALTY PHARMACY
Pharmacy Address
G3320 BEECHER RD
FLINT, MI 48532-3614
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/3/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
THOMAS J. SULLIVAN, Vice President & CFO
(508) 765-8130
Contract Pharmacy Representative
Diplomat Specialty Pharmacy
Teri Johnson, Pharmacist
(810) 732-8720
Signed By Date
10/17/2016
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