Contract Pharmacy Details

COMMUNITY PHARMACY OF CORINTH
CH01458C PENOBSCOT COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

PENOBSCOT COMMUNITY HEALTH CENTER, INC.

Subdivision Name

PENOBSCOT COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH01458C

Entity Address

1012 UNION STREET
BANGOR, ME 04401

Grant Number

H80CS04291

Participating Start Date

1/1/2002

Last Recertification Date

3/6/2025

Pharmacy Details

Pharmacy Name

COMMUNITY PHARMACY OF CORINTH

Pharmacy Address

689 MAIN ST.
CORINTH, ME 04427

Pharmacy Comments

Contract Details

Approval Date

10/20/2011

Contract Begin Date

5/12/2011

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database