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MAXI DRUG NORTH, INC.
CHC26640-00 MID-STATE HEALTH CENTER
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Covered Entity Details
Entity Name
MID-STATE HEALTH CENTER
Subdivision Name
Mid-State Health Center Plymouth
Type
HRSA-Funded Health Center
340B ID
CHC26640-00
Entity Address
101 Boulder Point Dr STE 1
Plymouth, NH 03264-3170
Grant Number
H80CS26640
Participating Start Date
4/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MAXI DRUG NORTH, INC.
Pharmacy Address
RITE AID #10281
89 NH ROUTE 25
MEREDITH, NH 03253
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert John MacLeod, CEO
(603) 536-4000
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/15/2019
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