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ATLAS PHARMAHEALTH, INC.
DSH220031 BOSTON MEDICAL CENTER
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Covered Entity Details
Entity Name
BOSTON MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220031
Entity Address
1 Boston Medical Center Place
BOSTON, MA 02118
Medicare Provider Number
220031
Participating Start Date
12/1/1992
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
ATLAS PHARMAHEALTH, INC.
Pharmacy Address
DBA GALAXY PHARMACY
500 CONGRESS ST STE 1B
QUINCY, MA 02169
Pharmacy Comments
Contract Details
Approval Date
10/17/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alastair Bell, Chief Executive Officer
(617) 638-6718
Contract Pharmacy Representative
Galaxy Pharmacy
Chris Le, Pharmacist
(617) 302-3599
Signed By Date
10/17/2023
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