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WAL-MART PHARMACY 10-1974
CAH201307-00 MILLINOCKET REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
MILLINOCKET REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201307-00
Entity Address
200 SOMERSET STREET
MILLINOCKET, ME 04462
Medicare Provider Number
201307
Participating Start Date
7/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1974
Pharmacy Address
17 LUDLOW ROAD
HOULTON, ME 04730
Pharmacy Comments
Contract Details
Approval Date
10/2/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mellissa McAvoy, CFO
(207) 723-5161
Contract Pharmacy Representative
Millinocket Regional Hospital
Mellissa McAvoy, CFO
(207) 723-5161
Signed By Date
10/2/2020
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