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RITE AID OF MAINE, INC.
CH013240 KATAHDIN VALLEY HEALTH CENTER
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Covered Entity Details
Entity Name
KATAHDIN VALLEY HEALTH CENTER
Subdivision Name
KATAHDIN VALLEY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH013240
Entity Address
30 Houlton St
Patten, ME 04765
Grant Number
H80CS00488
Participating Start Date
1/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MAINE, INC.
Pharmacy Address
RITE AID #4273
720 CENTRAL STREET
MILLINOCKET, ME 04462
Pharmacy Comments
Contract Details
Approval Date
7/17/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/5/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
DURWARD HUMPHREY, CEO
(207) 528-2285 Ext: 308
Contract Pharmacy Representative
PDS I Michigan, Inc
Allison Farrell, Senior Vice President
(717) 214-8834
Signed By Date
7/17/2013
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