Contract Pharmacy Details

ATLAS PHARMAHEALTH, INC.
DSH220031 BOSTON MEDICAL CENTER

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 CROWN COLONY PHARMACY & CO.
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

340B Drug Pricing Program Database