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HANNAFORD BROS. CO., LLC
FQHCLA432 White Mountain Community Health Center
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Covered Entity Details
Entity Name
White Mountain Community Health Center
Subdivision Name
White Mountain Community Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA432
Entity Address
298 White Mountain Hwy
Conway, NH 03818-4204
Grant Number
LALCS31653
Participating Start Date
4/1/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HANNAFORD BROS. CO., LLC
Pharmacy Address
DBA HANNAFORD FOOD & DRUG #8352
32 MOUNTAIN VALLEY BLVD.
NORTH CONWAY, NH 03860-3058
Pharmacy Comments
Contract Details
Approval Date
3/3/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
kenneth porter, executive director
(603) 443-8900
Contract Pharmacy Representative
Hannaford
Mike Fish, Pharmacy District Manager
(518) 428-2712
Signed By Date
1/17/2022
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