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RITE AID OF MAINE, INC.
CHC25680-06 PORTLAND COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
PORTLAND COMMUNITY HEALTH CENTER
Subdivision Name
Greater Portland Health at Portland High School
Type
HRSA-Funded Health Center
340B ID
CHC25680-06
Entity Address
284 Cumberland Ave
Portland, ME 04101-4989
Grant Number
H80CS25680
Participating Start Date
1/1/2017
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MAINE, INC.
Pharmacy Address
RITE AID #4660
698 MINOT AVENUE
AUBURN, ME 04210
Pharmacy Comments
Contract Details
Approval Date
4/14/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Ann Tucker, Chief Executive Officer
(207) 874-2141 Ext: 3886
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2019
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