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WALGREEN EASTERN CO., INC.
DSH220071 MASSACHUSETTS GENERAL HOSPITAL
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Covered Entity Details
Entity Name
MASSACHUSETTS GENERAL HOSPITAL
Subdivision Name
The General Hospital Corporation
Type
Disproportionate Share Hospital
340B ID
DSH220071
Entity Address
55 FRUIT STREET
BOSTON, MA 02114
Medicare Provider Number
220071
Participating Start Date
3/24/2021
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 15969
505 PARADISE ROAD
SWAMPSCOTT, MA 01907
Pharmacy Comments
Contract Details
Approval Date
3/17/2021
Contract Begin Date
3/24/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sally Mason Boemer, Senior Vice President of Finance
(617) 724-4537
Contract Pharmacy Representative
Massachusetts General Hospital
Rafic Nehme, Director, Pharmacy Business & Finance
(617) 726-5125
Signed By Date
3/12/2021
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