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BRIGHAM AND WOMEN'S HEALTH CARE CENTER
RRC220110-00 BRIGHAM AND WOMENS HOSPITAL
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Covered Entity Details
Entity Name
BRIGHAM AND WOMENS HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC220110-00
Entity Address
75 FRANCIS STREET
BOSTON, MA 02115
Medicare Provider Number
220110
Participating Start Date
1/1/2019
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
BRIGHAM AND WOMEN'S HEALTH CARE CENTER
Pharmacy Address
20 PATRIOT PL
FOXBOROUGH, MA 02035-1375
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Garrett McKinnon, Vice President of Finance
(857) 282-4406
Contract Pharmacy Representative
Mass General Brigham - Boston, MA
Rafic Nehme, Enterprise Director
(617) 726-5125
Signed By Date
4/15/2024
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