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PRICE CHOPPER OPERATING CO OF MASS, INC
CAH221302-00 FAIRVIEW HOSPITAL
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Covered Entity Details
Entity Name
FAIRVIEW HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH221302-00
Entity Address
29 LEWIS AVE
GREAT BARRINGTON, MA 01230
Medicare Provider Number
221302
Participating Start Date
9/27/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
PRICE CHOPPER OPERATING CO OF MASS, INC
Pharmacy Address
PRICE CHOPPER PHARMACY #155
320 STOCKBRIDGE ROAD
GREAT BARRINGTON, MA 01230
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Scott Adam St. George, Chief Financial Officer
(413) 447-3366
Contract Pharmacy Representative
Golub Corporation
Scott Guisinger, Vice President of Pharmacy
(518) 379-2409
Signed By Date
7/15/2022
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