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JOHNS HOPKINS PHARMAQUIP INC
DSH210029 JOHNS HOPKINS BAYVIEW MEDICAL CENTER
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Covered Entity Details
Entity Name
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH210029
Entity Address
4940 EASTERN AVENUE
BALTIMORE, MD 21224
Medicare Provider Number
210029
Participating Start Date
10/1/2001
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
JOHNS HOPKINS PHARMAQUIP INC
Pharmacy Address
5901 HOLABIRD AVE STE A
BALTIMORE, MD 21224
Pharmacy Comments
Contract Details
Approval Date
1/15/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RICHARD G BENNETT, President
(410) 550-0781
Contract Pharmacy Representative
Mitra Gavgani, Director, Infusion Services
(443) 690-5066
Signed By Date
1/15/2015
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