340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BOSTON MEDICAL CENTER PHARMACY AT SHAPIR
DSH220052 BROCKTON HOSPITAL, INC
Print
Covered Entity Details
Entity Name
BROCKTON HOSPITAL, INC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220052
Entity Address
680 CENTRE STREET
BROCKTON, MA 02302
Medicare Provider Number
220052
Participating Start Date
1/1/2004
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
BOSTON MEDICAL CENTER PHARMACY AT SHAPIR
Pharmacy Address
725 ALBANY ST
PHARMACY
BOSTON, MA 02118-2526
Pharmacy Comments
Contract Details
Approval Date
4/22/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James N. Papadakos, Chief Financial Officer
(508) 941-7570
Contract Pharmacy Representative
David Twitchell, Director of Pharmacy
(617) 638-6799
Signed By Date
4/22/2016
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