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NORTH SHORE PHARMACY SERVICES
CH010170 Harbor Health Services, Inc.
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Covered Entity Details
Entity Name
Harbor Health Services, Inc.
Subdivision Name
DANIEL DRISCOLL - NEPONSET HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH010170
Entity Address
398 NEPONSET AVE
DORCHESTER, MA 02122
Grant Number
H80CS00743
Participating Start Date
4/1/2002
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
NORTH SHORE PHARMACY SERVICES
Pharmacy Address
OMNICARE OF NORTHERN MASSACHUSETTS
2 TECHNOLOGY DRIVE
PEABODY, MA 01960
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Charles T. Jones, CEO
(617) 533-2350
Contract Pharmacy Representative
Eaton Apothecary
John H. Lynch, General Manager
(401) 665-9677
Signed By Date
4/13/2018
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