Contract Pharmacy Details

RITE AID OF MAINE, INC.
CH015110 HEALTH ACCESS NETWORK

Covered Entity Details

Entity Name

HEALTH ACCESS NETWORK

Subdivision Name

Health Access Network Lincoln

Type

HRSA-Funded Health Center

340B ID

CH015110

Entity Address

175 WEST BROADWAY
LINCOLN, ME 04457

Grant Number

H80CS02450

Participating Start Date

1/1/2004

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

RITE AID OF MAINE, INC.

Pharmacy Address

RITE AID #4273
720 CENTRAL STREET
MILLINOCKET, ME 04462

Pharmacy Comments

Contract Details

Approval Date

1/8/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/5/2018
Ownership change

Contacts

Covered Entity Signing Official

Jeff Kirsch, CFO
(207) 794-6700

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

1/8/2014

340B Drug Pricing Program Database