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INFINITY COMPOUNDING SOLUTIONS, LLC
CHC00630-00 EASTPORT HEALTH CARE INC
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Covered Entity Details
Entity Name
EASTPORT HEALTH CARE INC
Subdivision Name
EASTPORT HEALTH CARE, INC.
Type
HRSA-Funded Health Center
340B ID
CHC00630-00
Entity Address
30 Boynton St
Eastport, ME 04631-1306
Grant Number
H80CS00630
Participating Start Date
7/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
INFINITY COMPOUNDING SOLUTIONS, LLC
Pharmacy Address
DBA INFINITY CARE SOLUTIONS
1204 SE 28TH ST STE 2
BENTONVILLE, AR 72712-3887
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ellen M Krajewski, CEO
(207) 853-4045
Contract Pharmacy Representative
Infinity Care Solutions
David Fisher, General Counsel
(479) 685-2176
Signed By Date
10/15/2021
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