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EVERSANA LIFE SCIENCE SERVICES, 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
EVERSANA LIFE SCIENCE SERVICES, LLC
Pharmacy Address
17877 CHESTERFIELD AIRPORT ROAD
CHESTERFIELD, MO 63005-1211
Pharmacy Comments
Contract Details
Approval Date
4/14/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terri Russo, Senior Director
(774) 442-6890
Contract Pharmacy Representative
Centric Health Resources
Chad Forinash, VP , Patient Dispensing
(314) 852-8687
Signed By Date
4/14/2015
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