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NEW ENGLAND LIFE CARE INC.
HM02114 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
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Covered Entity Details
Entity Name
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
Subdivision Name
MASSACHUSETTS GENERAL COMPREHENSIVE HEMOPHILIA AND THROMBOSIS TREATMENT CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM02114
Entity Address
55 FRUIT STREET
BOSTON, MA 02114
Grant Number
H30MC24048
Participating Start Date
10/1/2011
Last Recertification Date
2/10/2025
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
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES HEFFERNAN, SR. VP OF FINANCE AND TREASURER
(617) 726-2684
Contract Pharmacy Representative
New England Life Care, Inc.
Robert Calway, Chief Operating Officer
(781) 932-4325
Signed By Date
10/12/2018
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