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MAXI DRUG NORTH, INC.
CHC00295-00 HEALTHFIRST FAMILY CARE CENTER, Inc.
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Covered Entity Details
Entity Name
HEALTHFIRST FAMILY CARE CENTER, Inc.
Subdivision Name
HEALTH FIRST FAMILY CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CHC00295-00
Entity Address
841 Central St
Franklin, NH 03235-2026
Grant Number
H80CS00295
Participating Start Date
7/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MAXI DRUG NORTH, INC.
Pharmacy Address
RITE AID #10281
89 NH ROUTE 25
MEREDITH, NH 03253
Pharmacy Comments
Contract Details
Approval Date
10/6/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ted Bolognani, CFO
(603) 934-0177 Ext: 115
Contract Pharmacy Representative
Rite Aid
Charlene Kaiser, VP, Managed Care Operations
(918) 645-6652
Signed By Date
10/6/2022
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