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LYNNFIELD DRUG INC
DSH410010 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
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Covered Entity Details
Entity Name
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH410010
Entity Address
101 DUDLEY ST.
PROVIDENCE, RI 02905
Medicare Provider Number
410010
Participating Start Date
10/1/2004
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
LYNNFIELD DRUG INC
Pharmacy Address
DBA FREEDOM FERTILITY PHARMACY
374 MERRIMAC ST STE 100
NEWBURYPORT, MA 01950
Pharmacy Comments
Contract Details
Approval Date
4/2/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Colleen M Ramos, VP Finance
(401) 430-1003
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/2/2019
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