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D.A.W., LLC
HM01655 UMass Memorial Healthcare
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Covered Entity Details
Entity Name
UMass Memorial Healthcare
Subdivision Name
NEW ENGLAND HEMOPHILIA CENTER AT UMASS MEMORIAL
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM01655
Entity Address
55 Lake Avenue
HI-759B
WORCESTER, MA 01655
Grant Number
H30MC24048
Participating Start Date
4/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
D.A.W., LLC
Pharmacy Address
EATON APOTHECARY #3060
427 TURNPIKE ST STE 5
CANTON, MA 02021-2709
Pharmacy Comments
Contract Details
Approval Date
11/25/2011
Contract Begin Date
11/25/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Doreen Brettler, Medical Director
(508) 334-6093
Contract Pharmacy Representative
Eaton Apothecary
John H Lynch, General Manager
(800) 223-2988 Ext: 7115
Signed By Date
11/14/2011
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