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PROFESSIONAL HOME CARE SVCS
DSH070002 Saint Francis Hospital and Medical Center
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Covered Entity Details
Entity Name
Saint Francis Hospital and Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH070002
Entity Address
114 Woodland Street
Hartford, CT 06105
Medicare Provider Number
070002
Participating Start Date
7/1/2012
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
PROFESSIONAL HOME CARE SVCS
Pharmacy Address
DBA BIOSCRIP INFUSION SERVICES
106 SEBETHE DRIVE
SUITE A
CROMWELL, CT 06416
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Bittner, Senior Vice President Finance & CFO
(860) 714-1950
Contract Pharmacy Representative
James Melancon, Vice President, Senior counsel
(484) 567-8714
Signed By Date
1/15/2016
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