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M DRUG LLC DBA MILLER DRUG LTC
CH014580 PENOBSCOT COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
PENOBSCOT COMMUNITY HEALTH CENTER, INC.
Subdivision Name
BREWER MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH014580
Entity Address
735 WILSON ST
BREWER, ME 04412
Grant Number
H80CS04291
Participating Start Date
1/1/2005
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
M DRUG LLC DBA MILLER DRUG LTC
Pharmacy Address
208 STATE STREET
BANGOR, ME 04401
Pharmacy Comments
Contract Details
Approval Date
10/18/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/27/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Kenneth Schmidt, CEO
(207) 992-9200 Ext: 1401
Contract Pharmacy Representative
Miller Drug
Vinnie Mainella, CFO
(207) 907-2341
Signed By Date
10/18/2013
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