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ST MARY'S HOSPITAL
SCH210028-00 ST. MARYS HOSPITAL
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Covered Entity Details
Entity Name
ST. MARYS HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH210028-00
Entity Address
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Medicare Provider Number
210028
Participating Start Date
10/1/2018
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
ST MARY'S HOSPITAL
Pharmacy Address
PHARMACY DEPARTMENT
PO BOX 527
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Pharmacy Comments
Contract Details
Approval Date
3/3/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Richard A. Braam, Chief Financial Officer
(304) 475-6003
Contract Pharmacy Representative
MedStar Health
Bonnie Levin, AVP, Pharmacy Services
(410) 772-6773
Signed By Date
3/3/2016
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