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MARTIN'S FOODS OF SOUTH BURLINGTON, LLC
CHC10611-06 Lamoille Health Partners, Inc.
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Covered Entity Details
Entity Name
Lamoille Health Partners, Inc.
Subdivision Name
Lamoille Health Family Dentistry
Type
HRSA-Funded Health Center
340B ID
CHC10611-06
Entity Address
66 Morrisville Plz
Morrisville, VT 05661-4482
Grant Number
H80CS10611
Participating Start Date
10/1/2019
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
MARTIN'S FOODS OF SOUTH BURLINGTON, LLC
Pharmacy Address
DBA HANNAFORD SUPERMARKET & PHARMACY #81
80 FAIRGROUNDS PLZ
MORRISVILLE, VT 05661
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stuart G May, President / CEO
(802) 888-0901
Contract Pharmacy Representative
Hannaford
Mike Fish, Pharmacy District Manager
(518) 428-2712
Signed By Date
7/15/2021
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