340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CONROY APOTHECARY
CAH221300-00 MARTHA'S VINEYARD HOSPITAL
Print
Covered Entity Details
Entity Name
MARTHA'S VINEYARD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH221300-00
Entity Address
1 HOSPITAL ROAD
Oak Bluffs, MA 02557
Medicare Provider Number
221300
Participating Start Date
9/24/2010
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
CONROY APOTHECARY
Pharmacy Address
459 STATE ROAD
PO BOX 422
WEST TISBURY, MA 02575-0422
Pharmacy Comments
Contract Details
Approval Date
10/12/2012
Contract Begin Date
10/12/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID Taber CARON, PHARMACY DIRECTOR
(508) 957-9512
Contract Pharmacy Representative
Tamara Hersch, President
(508) 696-0700
Signed By Date
9/14/2012
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session