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NEW ENGLAND LIFE CARE
HM02146 BRIGHAM & WOMEN'S PHYSICIANS ORGANIZATION (BWPO)
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Covered Entity Details
Entity Name
BRIGHAM & WOMEN'S PHYSICIANS ORGANIZATION (BWPO)
Subdivision Name
BOSTON BLEEDING DISORDERS CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM02146
Entity Address
1620 Tremont Street
BOSTON, MA 02120-1613
Grant Number
5 H30 MC24048
Participating Start Date
1/1/1998
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
NEW ENGLAND LIFE CARE
Pharmacy Address
780 DEDHAM ST STE 300
CANTON, MA 02021
Pharmacy Comments
Contract Details
Approval Date
10/9/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin T. Giordano, Executive Administrator
(617) 525-9444
Contract Pharmacy Representative
New England Life Care, Inc.
Robert Calway, Chief Operating Officer
(781) 932-4325
Signed By Date
10/9/2018
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