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LSC MAIL ORDER PHARMACY
DSH310009 CLARA MAASS MEDICAL CENTER
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Covered Entity Details
Entity Name
CLARA MAASS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310009
Entity Address
ONE CLARA MAASS DRIVE
BELLEVILLE, NJ 07109-3550
Medicare Provider Number
310009
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
LSC MAIL ORDER PHARMACY
Pharmacy Address
605 MONTROSE AVE
SOUTH PLAINFIELD, NJ 07080
Pharmacy Comments
Contract Details
Approval Date
10/25/2011
Contract Begin Date
10/25/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mary Ellen Clyne, CEO
(973) 450-2002
Contract Pharmacy Representative
Suzanne Sesta, Vice President
(908) 851-7420
Signed By Date
11/1/2011
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