340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

MAXI GREEN, INC.
DSH300003 MARY HITCHCOCK MEMORIAL HOSP

Covered Entity Details

Disproportionate Share Hospital
DSH300003
One Medical Center Drive
LEBANON, NH 03756-0001
300003
7/1/2022
8/28/2024


Pharmacy Details

RITE AID #10312
213 MAIN STREET
LUDLOW, VT 05149

Contract Details

4/20/2022
7/1/2022

10/17/2023
Pharmacy closed


Contacts


Staci A Hermann, CHIEF PHARMACY OFFICER
(603) 653-3160



Rite Aid
Charlene Kaiser, VP, Managed Care Operations
(918) 645-6652
4/14/2022