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CVS MANCHESTER NH, L.L.C.
CAH301311-00 SPEARE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
SPEARE MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301311-00
Entity Address
16 HOSPITAL ROAD
PLYMOUTH, NH 03264
Medicare Provider Number
301311
Participating Start Date
9/30/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CVS MANCHESTER NH, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08931
220 UNION AVE.
LACONIA, NH 03246
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MICHELLE MCEWEN, PRESIDENT SPEARE MEMORIAL HOSPITAL
(603) 238-2230
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2020
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