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FAMILY PHARMACY
DSH220095 HENRY HEYWOOD MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
HENRY HEYWOOD MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220095
Entity Address
242 GREEN STREET
GARDNER, MA 01440
Medicare Provider Number
220095
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
FAMILY PHARMACY
Pharmacy Address
HEYWOOD HOSPITAL INC
MEDICAL ARTS BUILDING
250 GREEN STREET
GARDNER, MA 01440
Pharmacy Comments
Contract Details
Approval Date
6/27/2012
Contract Begin Date
6/27/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/22/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ROBERT CROSBY, SR.VP FINANCE & CFO
(978) 630-6157
Contract Pharmacy Representative
Shaun Thompson, Senior VP
(978) 297-5100
Signed By Date
6/15/2012
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