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BOSTON MEDICAL CENTER PHARMACY AT SHAPIR
DSH220111 GOOD SAMARITAN MEDICAL CENTER
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Covered Entity Details
Entity Name
GOOD SAMARITAN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220111
Entity Address
235 NORTH PEARL STREET
BROCKTON, MA 02301
Medicare Provider Number
220111
Participating Start Date
1/1/2025
Last Recertification Date
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
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alastair Bell, Chief Executive Officer
(617) 638-6718
Contract Pharmacy Representative
Boston Medical Center
Gerry Leung, Director 340B Ops
(617) 638-8000
Signed By Date
1/15/2025
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