340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARTFORD HOSPITAL
RRC070017-00 MIDSTATE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MIDSTATE MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC070017-00
Entity Address
435 LEWIS AVENUE
MERIDEN, CT 06451
Medicare Provider Number
070017
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
HARTFORD HOSPITAL
Pharmacy Address
DBA HARTFORD HEALTHCARE RETAIL PHARMACY
85 SEYMOUR ST STE 105
HARTFORD, CT 06106
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Del Mastro, HHC Reg VP Finance Central
(959) 236-3295
Contract Pharmacy Representative
Hartford HealthCare
Brianne Nichols, Pharmacy Manager
(860) 972-7096
Signed By Date
4/1/2025
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