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THE STOP & SHOP SUPERMARKET
CAH221300-00 MARTHA'S VINEYARD HOSPITAL
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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
THE STOP & SHOP SUPERMARKET
Pharmacy Address
DBA STOP & SHOP PHARMACY #398
245 EDGARTOWN VINEYARD HAVEN RD
EDGARTOWN, MA 02539
Pharmacy Comments
Contract Details
Approval Date
10/19/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/13/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Timothy J Walsh, CEO
(508) 957-9500
Contract Pharmacy Representative
Andy Markievich, Ahold Director Third Party and Managed Care
(717) 240-1543
Signed By Date
10/19/2016
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