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NAI SATURN EASTERN LLC
DSH210038 MARYLAND GENERAL HOSPITAL
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Covered Entity Details
Entity Name
MARYLAND GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH210038
Entity Address
827 LINDEN AVENUE
BALTIMORE, MD 21201
Medicare Provider Number
210038
Participating Start Date
4/1/2016
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
NAI SATURN EASTERN LLC
Pharmacy Address
DBA SAFEWAY PHARMACY #1481
2610 BOSTON ST
BALTIMORE, MD 21224
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Craig Fleischmann, Vice President of Finance
(410) 328-1092
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
4/12/2019
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