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RICHFORD HEALTH CENTER, INC.
SCH470024-00 Northwestern Medical Center, Inc.
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Covered Entity Details
Entity Name
Northwestern Medical Center, Inc.
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH470024-00
Entity Address
133 Fairfield Street
St. Albans, VT 05478
Medicare Provider Number
470024
Participating Start Date
1/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
RICHFORD HEALTH CENTER, INC.
Pharmacy Address
D/B/A FAIRFAX PHARMACY
997 MAIN ST
FAIRFAX, VT 05454-9901
Pharmacy Comments
Contract Details
Approval Date
1/3/2022
Contract Begin Date
1/27/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/26/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deanna Orfanidis, Chief Nursing Officer
(802) 524-1068
Contract Pharmacy Representative
Richford Health Center, Inc.
KATHY J BENOIT, Executive Director
(802) 255-5562 Ext: 562
Signed By Date
1/3/2022
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