Contract Pharmacy Details

RITE AID OF MAINE, INC.
CH013280 D.F.D. RUSSELL MEDICAL CENTER, INC.

Covered Entity Details

Entity Name

D.F.D. RUSSELL MEDICAL CENTER, INC.

Subdivision Name

DFD RUSSELL MEDICAL CENTER - LEEDS

Type

HRSA-Funded Health Center

340B ID

CH013280

Entity Address

180 Church Hill Rd
Leeds, ME 04263-3418

Grant Number

H80CS00642

Participating Start Date

1/1/2001

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

RITE AID OF MAINE, INC.

Pharmacy Address

RITE AID #3292
81 MAIN STREET
LIVERMORE FALLS, ME 04254

Pharmacy Comments

Contract Details

Approval Date

7/14/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/31/2018
Ownership change

Contacts

Covered Entity Signing Official

Laurie Kane-Lewis, CEO
(207) 524-4001

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

7/14/2017

340B Drug Pricing Program Database