Contract Pharmacy Details

ORONO PHARMACY
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

ORONO PHARMACY

Pharmacy Address

16 MILL STREET
ORONO, ME 04473

Pharmacy Comments

Contract Details

Approval Date

10/20/2011

Contract Begin Date

5/12/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/27/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database