340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NEW ENGLAND LIFE CARE INC.
DSH220163 UMASS MEMORIAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
UMASS MEMORIAL MEDICAL CENTER
Subdivision Name
UNIVERSITY CAMPUS
Type
Disproportionate Share Hospital
340B ID
DSH220163
Entity Address
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Medicare Provider Number
220163
Participating Start Date
10/1/2003
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
NEW ENGLAND LIFE CARE INC.
Pharmacy Address
4 CONSTITUTION WAY STE J
WOBURN, MA 01801
Pharmacy Comments
Contract Details
Approval Date
10/7/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alice Shakman, Vice President Operations
(774) 443-0540
Contract Pharmacy Representative
New England Life Care
Lisa Russo, Dorector of Pharmacy
(781) 932-4360
Signed By Date
10/7/2018
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