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CVS PHARMACY, INC.
DSH220019 UMass Memorial Health - Harrington Hospital, Inc.
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Covered Entity Details
Entity Name
UMass Memorial Health - Harrington Hospital, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220019
Entity Address
100 SOUTH STREET
SOUTHBRIDGE, MA 01550
Medicare Provider Number
220019
Participating Start Date
7/1/2009
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 00498
112 E. MAIN ST.
WEBSTER, MA 01570
Pharmacy Comments
Contract Details
Approval Date
11/29/2012
Contract Begin Date
11/29/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
THOMAS J. SULLIVAN, Vice President & CFO
(508) 765-8130
Contract Pharmacy Representative
CVS
Scott Tierney, Senior Director, Payer Relations
(401) 770-2762
Signed By Date
9/28/2012
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