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BOSWELL PHARMACY SERVICES, LLC
DSH310092 CAPITAL HEALTH SYSTEM - FULD
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Covered Entity Details
Entity Name
CAPITAL HEALTH SYSTEM - FULD
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310092
Entity Address
750 BRUNSWICK AVENUE
TRENTON, NJ 08638
Medicare Provider Number
310092
Participating Start Date
10/1/2012
Last Recertification Date
9/16/2024
Pharmacy Details
Pharmacy Name
BOSWELL PHARMACY SERVICES, LLC
Pharmacy Address
131 SCHOOLHOUSE ROAD
P O BOX 266
JENNERSTOWN, PA 15547
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
2/7/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laura McGuire, CCO
(609) 394-6783
Contract Pharmacy Representative
BosWell Pharmacy Services
Jacqueline M Martella, pharmacist
(888) 688-3288
Signed By Date
1/17/2023
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