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BELFAST DRUG COMPANY INC
CAH201312-00 MAINEHEALTH WALDO HOSPITAL
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Covered Entity Details
Entity Name
MAINEHEALTH WALDO HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201312-00
Entity Address
118 NORTHPORT AVENUE
BELFAST, ME 04915
Medicare Provider Number
201312
Participating Start Date
9/9/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
BELFAST DRUG COMPANY INC
Pharmacy Address
15 STARRETT DR UNIT G
BELFAST, ME 04915-6563
Pharmacy Comments
Contract Details
Approval Date
7/8/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/11/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Drinkwater, CFO
(207) 505-4104
Contract Pharmacy Representative
Belfast Drug Company Inc
Kristy Krasnavage, Director of Pharmacy
(207) 338-0441
Signed By Date
7/8/2021
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