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BOSTON MEDICAL CENTER PHARMACY AT SHAPIR
DSH220066 MERCY MEDICAL CENTER
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Covered Entity Details
Entity Name
MERCY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220066
Entity Address
271 CAREW STREET
SPRINGFIELD, MA 01104
Medicare Provider Number
220066
Participating Start Date
7/1/2004
Last Recertification Date
8/23/2024
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
4/13/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stuart Edward Rosenberg, Vice President of Operations
(413) 748-9008
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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