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DARTMOUTH-HITCHCOCK PHARMACY
CAH301308-00 VALLEY REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
VALLEY REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301308-00
Entity Address
243 ELM STREET
CLAREMONT, NH 03743
Medicare Provider Number
301308
Participating Start Date
4/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
DARTMOUTH-HITCHCOCK PHARMACY
Pharmacy Address
1000 QUALITY DR
HOOKSETT, NH 03106
Pharmacy Comments
Contract Details
Approval Date
4/11/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jean Shaw, CHIEF FINANCIAL OFFICER
(603) 542-3421
Contract Pharmacy Representative
Dartmouth-Hitchcock
Staci A Hermann, CHIEF PHARMACY OFFICER
(603) 653-3160
Signed By Date
4/11/2022
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