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BOSTON MEDICAL CENTER PHARMACY AT SHAPIR
DSH220036 ST. ELIZABETH'S MEDICAL CTR
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Covered Entity Details
Entity Name
ST. ELIZABETH'S MEDICAL CTR
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220036
Entity Address
736 CAMBRIDGE STREET
BOSTON, MA 02135
Medicare Provider Number
220036
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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