340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARTFORD HOSPITAL
RRC070017-00 MIDSTATE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MIDSTATE MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC070017-00
Entity Address
435 LEWIS AVENUE
MERIDEN, CT 06451
Medicare Provider Number
070017
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
HARTFORD HOSPITAL
Pharmacy Address
DBA HARTFORD HEALTHCARE RETAIL PHARMACY
85 SEYMOUR ST STE 105
HARTFORD, CT 06106
Pharmacy Comments
Contract Details
Approval Date
10/20/2022
Contract Begin Date
10/20/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sean Michael Curtin, Vice President, Finance, Hartford Region
(860) 545-0585
Contract Pharmacy Representative
Hartford HealthCare
Brianne Nichols, Pharmacy Manager
(860) 972-7096
Signed By Date
10/10/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session