340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HANNAFORD BROS. CO., LLC
CHC26640-00 MID-STATE HEALTH CENTER
Print
Covered Entity Details
Entity Name
MID-STATE HEALTH CENTER
Subdivision Name
Mid-State Health Center Plymouth
Type
HRSA-Funded Health Center
340B ID
CHC26640-00
Entity Address
101 Boulder Point Dr STE 1
Plymouth, NH 03264-3170
Grant Number
H80CS26640
Participating Start Date
4/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HANNAFORD BROS. CO., LLC
Pharmacy Address
DBA HANNAFORD SUPERMARKET & PHARMACY #82
389 TENNEY MOUNTAIN HWY.
SUITE 6
PLYMOUTH, NH 03264
Pharmacy Comments
Contract Details
Approval Date
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert John MacLeod, CEO
(603) 536-4000
Contract Pharmacy Representative
Hannaford
Mike Fish, Pharmacy District Manager
(518) 428-2712
Signed By Date
4/12/2021
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