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BRATTLEBORO PHARMACY
CAH471300-00 Grace Cottage Hospital
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Covered Entity Details
Entity Name
Grace Cottage Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471300-00
Entity Address
185 Grafton Road
Townshend, VT 05353-0216
Medicare Provider Number
471300
Participating Start Date
10/1/2011
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
BRATTLEBORO PHARMACY
Pharmacy Address
413 CANAL ST
BRATTLEBORO, VT 05301
Pharmacy Comments
Contract Details
Approval Date
7/9/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/22/2022
Ownership change
Contacts
Covered Entity Signing Official
Stephen A. Brown, CFO
(802) 365-3601 Ext: 120
Contract Pharmacy Representative
Brattleboro Pharmacy
Andrew Miller, Treasurer
(802) 254-7777
Signed By Date
7/9/2020
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