340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

MAXI DRUG NORTH, 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 #10283
24 FORT EDDY PLAZA
CONCORD, NH 03301

Contract Details

4/20/2022
7/1/2022

1/7/2024
Pharmacy closed


Contacts


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



Rite Aid
Charlene Kaiser, VP, Managed Care Operations
(918) 645-6652
4/15/2022