340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

PRIME THERAPEUTICS SPECIALTY PHARMACY LL
DSH200009 MAINEHEALTH MAINE MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH200009
22 BRAMHALL STREET
PORTLAND, ME 04102
200009
7/1/2011
8/19/2024


Pharmacy Details

ALLIANCERX WALGREENS PRIME #16568
2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDO, FL 32819-9992

Contract Details

7/19/2019
10/1/2019

10/1/2022
Pharmacy closed


Contacts


Lugene Anthony Inzana, CFO
(207) 662-2654



Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
7/19/2019