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BILH SPECIALTY PHARMACY
DSH220033Y BEVERLY HOSPITAL
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Covered Entity Details
Entity Name
BEVERLY HOSPITAL
Subdivision Name
LAHEY OUTPATIENT CENTER DANVERS / DAN MAMMOGRAPHY
Type
Disproportionate Share Hospital
340B ID
DSH220033Y
Entity Address
480 Maple Street
Suite 106
Danvers, MA 01923
Medicare Provider Number
220033
Outpatient Facility Provider Number
Participating Start Date
10/1/2017
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
BILH SPECIALTY PHARMACY
Pharmacy Address
80 WILSON WAY STE B
WESTWOOD, MA 02090-1806
Pharmacy Comments
Contract Details
Approval Date
4/18/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tom Sands, President
(978) 816-2580
Contract Pharmacy Representative
BILH Pharmacy
Luca Cattaneo, Director Specialty Pharmacy
(781) 352-6610
Signed By Date
4/18/2023
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