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M DRUG LLC
CAH201301-00 CHARLES A. DEAN MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CHARLES A. DEAN MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201301-00
Entity Address
364 PRITHAM AVENUE
GREENVILLE, ME 04441
Medicare Provider Number
201301
Participating Start Date
1/1/2011
Last Recertification Date
9/9/2024
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
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JENNIFER GOODRICH, CFO
(207) 695-5209
Contract Pharmacy Representative
M DRUG llc
Matthew Marston, Interim Director
(207) 275-3239
Signed By Date
7/15/2020
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