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PRICE CHOPPER OPERATING CO OF MASS, INC
DSH220046 BERKSHIRE MEDICAL CENTER
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Covered Entity Details
Entity Name
BERKSHIRE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220046
Entity Address
725 NORTH STREET
PITTSFIELD, MA 01201
Medicare Provider Number
220046
Participating Start Date
1/1/2010
Last Recertification Date
9/9/2024
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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