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MASS GENERAL BRIGHAM SPECIALTY PHARMACY,
RRC220110-00 BRIGHAM AND WOMENS HOSPITAL
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Covered Entity Details
Entity Name
BRIGHAM AND WOMENS HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC220110-00
Entity Address
75 FRANCIS STREET
BOSTON, MA 02115
Medicare Provider Number
220110
Participating Start Date
1/1/2019
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
MASS GENERAL BRIGHAM SPECIALTY PHARMACY,
Pharmacy Address
ATTN: PHARMACY
31 NORTH AVE
BURLINGTON, MA 01803
Pharmacy Comments
Contract Details
Approval Date
10/10/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Dunleavy, Chief Financial Officer
(617) 732-7899
Contract Pharmacy Representative
Partners Specialty Pharmacy
Vikram Dave, SP Program Manager
(857) 238-2104
Signed By Date
10/10/2018
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