340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VICTORY DISTRIBUTORS, LLC
CAH471306-00 SPRINGFIELD HOSPITAL
Print
Covered Entity Details
Entity Name
SPRINGFIELD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471306-00
Entity Address
25 RIDGEWOOD ROAD
SPRINGFIELD, VT 05156
Medicare Provider Number
471306
Participating Start Date
1/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
VICTORY DISTRIBUTORS, LLC
Pharmacy Address
DBA HANNAFORD SUPERMARKET & PHARMACY #83
73 FORT EDDY RD
CONCORD, NH 03301-7405
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lester G. Peck, Director of Pharmacy
(802) 885-7571
Contract Pharmacy Representative
Hannaford
Mike Fish, Pharmacy District Manager
(518) 428-2712
Signed By Date
7/15/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session