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BOSTON MEDICAL CENTER PHARMACY AT SHAPIR
CAH221303-00 Athol Memorial Hospital
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Covered Entity Details
Entity Name
Athol Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH221303-00
Entity Address
2033 Main St.
Athol, MA 01331
Medicare Provider Number
221303
Participating Start Date
4/1/2013
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
BOSTON MEDICAL CENTER PHARMACY AT SHAPIR
Pharmacy Address
725 ALBANY ST
PHARMACY
BOSTON, MA 02118-2526
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/6/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael Abbatiello, CFO
(978) 630-6157
Contract Pharmacy Representative
Boston Medical Center
Noreen A. Palinkas, Director Pharmacy Compliance
(617) 638-5843
Signed By Date
4/13/2022
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