340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
M DRUG LLC
CAH201309-00 MRH Corp. DBA Northern Light Mayo Hospital
Print
Covered Entity Details
Entity Name
MRH Corp. DBA Northern Light Mayo Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201309-00
Entity Address
897 WEST MAIN STREET
DOVER FOXCROFT, ME 04426-1029
Medicare Provider Number
201309
Participating Start Date
9/22/2010
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
M DRUG LLC
Pharmacy Address
DBA NORTHERN LIGHT PHARMACY
70 BENNETT ST
BANGOR, ME 04401
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Goodrich, Vice President of Finance
(207) 316-7189
Contract Pharmacy Representative
M DRUG llc
Matthew Marston, Interim Director
(207) 275-3239
Signed By Date
4/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session