340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARTIN'S FOODS OF SOUTH BURLINGTON, LLC
CAH471307-00 Porter Hospital
Print
Covered Entity Details
Entity Name
Porter Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471307-00
Entity Address
115 PORTER DRIVE
MIDDLEBURY, VT 05753
Medicare Provider Number
471307
Participating Start Date
9/27/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
MARTIN'S FOODS OF SOUTH BURLINGTON, LLC
Pharmacy Address
DBA HANNAFORD SUPERMARKET & PHARMACY #81
456 S. BARRE RD
BARRE, VT 05641
Pharmacy Comments
Contract Details
Approval Date
10/7/2020
Contract Begin Date
10/26/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/10/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Karen Beinhaur, CNO
(802) 388-5637
Contract Pharmacy Representative
Hannaford Bros. Co., LLc
Deanne Sargent, Manager Pharmacy Network & Buisness Development
(207) 885-3044
Signed By Date
10/7/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session