340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CVS PHARMACY, INC.
DSH220177 NANTUCKET COTTAGE HOSPITAL
Print
Covered Entity Details
Entity Name
NANTUCKET COTTAGE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220177
Entity Address
57 PROSPECT STREET
NANTUCKET, MA 02554-2799
Medicare Provider Number
220177
Participating Start Date
3/15/2022
Last Recertification Date
9/8/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 01850
77 QUAKER MEETING HOUSE ROAD
SANDWICH, MA 02563
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Aaron S Fishman, VP, Finance
(508) 825-8205
Contract Pharmacy Representative
WELLPARTNER, A CVS HEALTH COMPANY
TOM ALBERTSON, NATIONAL SALES EXECUTIVE
(203) 343-3285
Signed By Date
10/13/2022
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