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BILH PHARMACY DIRECT
DSH220033BM BEVERLY HOSPITAL
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Covered Entity Details
Entity Name
BEVERLY HOSPITAL
Subdivision Name
ADDISON GILBERT HOSPITAL - CARDIOLOGY - CARDIOLOGY
Type
Disproportionate Share Hospital
340B ID
DSH220033BM
Entity Address
298 Washington Street
First Floor
Gloucester, MA 01923
Medicare Provider Number
220033
Outpatient Facility Provider Number
Participating Start Date
7/1/2018
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
BILH PHARMACY DIRECT
Pharmacy Address
80 WILSON WAY
SUITE A
WESTWOOD, MA 02090
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
Matt Pungitore, Pharmacy Direct Manager
(781) 352-6533
Signed By Date
4/18/2023
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