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DARTMOUTH-HITCHCOCK PHARMACY AT CENTERRA
CAH301304-01 THE NEW LONDON HOSPITAL ASSOCIATION, INC
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Covered Entity Details
Entity Name
THE NEW LONDON HOSPITAL ASSOCIATION, INC
Subdivision Name
THE NEWPORT HEALTH CENTER - RHC
Type
Critical Access Hospital
340B ID
CAH301304-01
Entity Address
11 JOHN STARK HIGHWAY
NEWPORT, NH 03773
Medicare Provider Number
301304
Outpatient Facility Provider Number
303978
Participating Start Date
9/20/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
DARTMOUTH-HITCHCOCK PHARMACY AT CENTERRA
Pharmacy Address
12 CENTERRA PKWY STE 10
LEBANON, NH 03766
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/19/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Bruce King, Chief Executive Officer
(603) 526-5512
Contract Pharmacy Representative
Dartmouth-Hitchcock Health
Linda M Sawyer, Sr Director Pharmacy Retail and Specialty Pharmacy
(603) 308-2282
Signed By Date
1/14/2019
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