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MAXI DRUG, 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
MAXI DRUG, INC.
Pharmacy Address
RITE AID #10093
5 SCHOFIELD AVENUE
DUDLEY, MA 01571
Pharmacy Comments
Contract Details
Approval Date
2/20/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/15/2018
Ownership change
Contacts
Covered Entity Signing Official
Ed Moore, President & CEO
(508) 765-3002
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
1/7/2013
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