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OUTPATIENT PHARMACY SVCS AT YALE NEW HAV
DSH070010 BRIDGEPORT HOSPITAL
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Covered Entity Details
Entity Name
BRIDGEPORT HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH070010
Entity Address
267 GRANT STREET
BRIDGEPORT, CT 06610-0120
Medicare Provider Number
070010
Participating Start Date
4/1/2006
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
OUTPATIENT PHARMACY SVCS AT YALE NEW HAV
Pharmacy Address
1100 SHERMAN AVE
C/O TERRI SUE RUBINO
HAMDEN, CT 06514
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PATRICK MCCABE, SENIOR VP FINANCE/CFO
(203) 688-2345
Contract Pharmacy Representative
Yale New Haven Health System
Marjorie Lazarre, Director, Pharmaceutical Procurement and Business Practices
(203) 688-7105
Signed By Date
4/14/2016
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