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WAL-MART PHARMACY 10-1797
CAH201302-00 Lincoln Hospital
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Covered Entity Details
Entity Name
Lincoln Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201302-00
Entity Address
35 Miles Street
Damariscotta, ME 04543-4047
Medicare Provider Number
201302
Participating Start Date
4/1/2014
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1797
Pharmacy Address
55 THOMASTON COMMONS WAY
THOMASTON, ME 04861
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/11/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wayne R Printy, CFO
(207) 563-4476
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/13/2021
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