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MAXI GREEN, INC.
CAH471306-00 SPRINGFIELD HOSPITAL
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Covered Entity Details
Entity Name
SPRINGFIELD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471306-00
Entity Address
25 RIDGEWOOD ROAD
SPRINGFIELD, VT 05156
Medicare Provider Number
471306
Participating Start Date
1/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
MAXI GREEN, INC.
Pharmacy Address
RITE AID #10312
213 MAIN STREET
LUDLOW, VT 05149
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
Joshua Dufresne, CEO
(802) 886-8961
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/15/2020
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