Contract Pharmacy Details

WILLIAMSTOWN APOTHECARY
DSH220046 BERKSHIRE MEDICAL CENTER

Covered Entity Details

Entity Name

BERKSHIRE MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH220046

Entity Address

725 NORTH STREET
PITTSFIELD, MA 01201

Medicare Provider Number

220046

Participating Start Date

1/1/2010

Last Recertification Date

9/9/2024

Pharmacy Details

Pharmacy Name

WILLIAMSTOWN APOTHECARY

Pharmacy Address

BERKSHIRE HEALTH SYSTEMS
72 SPRING ST.
WILLIAMSTOWN, MA 01267

Pharmacy Comments

Contract Details

Approval Date

6/18/2020

Contract Begin Date

6/18/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/14/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

DARLENE RODOWICZ, Executive Vice President & Treasurer
(413) 447-2809

Contract Pharmacy Representative

Berkshire Health Systems
David MacHaffie, Pharmacy Director
(413) 395-7912

Signed By Date

6/18/2020

340B Drug Pricing Program Database