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M DRUG LLC
DSH200041 INLAND HOSPITAL
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Covered Entity Details
Entity Name
INLAND HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH200041
Entity Address
200 KENNEDY MEMORIAL DRIVE
WATERVILLE, ME 04901
Medicare Provider Number
200041
Participating Start Date
7/1/2008
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
M DRUG LLC
Pharmacy Address
DBA NORTHERN LIGHT PHARMACY WHITING HILL
33 WHITING HILL RD STE 4
BREWER, ME 04412-1022
Pharmacy Comments
Contract Details
Approval Date
1/17/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chris Frauenhofer, VICE PRESIDENT OF FINANCE
(207) 861-3013
Contract Pharmacy Representative
Miller Drug
Matthew Marston, Senior Manager - Clinical Pharmacy Services
(207) 275-3327
Signed By Date
1/17/2019
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