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HANNAFORD BROS. CO., LLC
CH010380 REGIONAL MEDICAL CENTER AT LUBEC
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Covered Entity Details
Entity Name
REGIONAL MEDICAL CENTER AT LUBEC
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH010380
Entity Address
43 SOUTH LUBEC ROAD
LUBEC, ME 04652
Grant Number
H80CS00150
Participating Start Date
1/1/1997
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HANNAFORD BROS. CO., LLC
Pharmacy Address
DBA HANNAFORD SUPERMARKET & PHARMACY #81
149 DUBLIN STREET
MACHIAS, ME 04654
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marilyn F. Hughes, CEO
(207) 733-1090 Ext: 5201
Contract Pharmacy Representative
HANNAFORD BROS CO LLC
MOIRA O'OTOOLE, DIRECTOR PHARMACY SERVICES
(207) 885-2532
Signed By Date
10/15/2020
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