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ABSOLUTECARE OF MD2, LLC
CH033180 BALTIMORE MEDICAL SYSTEM, INC.
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Covered Entity Details
Entity Name
BALTIMORE MEDICAL SYSTEM, INC.
Subdivision Name
BMS at Yard 56
Type
HRSA-Funded Health Center
340B ID
CH033180
Entity Address
5525 Eastern Avenue
Suite 301
Baltimore, MD 21224-2029
Grant Number
H80CS00800
Participating Start Date
10/1/1998
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
ABSOLUTECARE OF MD2, LLC
Pharmacy Address
7501 GREENWAY CENTER DR STE 600
GREENBELT, MD 20770-6704
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Reuther, Chief Operating Officer
(443) 703-3468
Contract Pharmacy Representative
Absolutecare Incorporated
Sharon Dickerson, VP Administration
(404) 231-4431
Signed By Date
10/15/2019
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