340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CVS PHARMACY, INC.
DSH220071 MASSACHUSETTS GENERAL HOSPITAL
Print
Covered Entity Details
Entity Name
MASSACHUSETTS GENERAL HOSPITAL
Subdivision Name
The General Hospital Corporation
Type
Disproportionate Share Hospital
340B ID
DSH220071
Entity Address
55 FRUIT STREET
BOSTON, MA 02114
Medicare Provider Number
220071
Participating Start Date
3/24/2021
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
CVS/PHARMACY #10502
75 STOREY AVE.
NEWBURYPORT, MA 01950
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sally Mason Boemer, Senior Vice President of Finance
(617) 724-4537
Contract Pharmacy Representative
Massachusetts General Hospital
Rafic Nehme, Director, Pharmacy Business & Finance
(617) 726-5125
Signed By Date
7/17/2023
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