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MAXI DRUG, INC.
CH01384B COMMUNITY HEALTH PROGRAMS, INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY HEALTH PROGRAMS, INCORPORATED
Subdivision Name
CHP Great Barrington Family Health and Dental Center
Type
HRSA-Funded Health Center
340B ID
CH01384B
Entity Address
444 Stockbridge Rd
Great Barrington, MA 01230-1295
Grant Number
H80CS00237
Participating Start Date
7/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MAXI DRUG, INC.
Pharmacy Address
RITE AID #10066
163 SOUTH ST.
PITTSFIELD, MA 01201
Pharmacy Comments
Contract Details
Approval Date
1/14/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/22/2018
Ownership change
Contacts
Covered Entity Signing Official
Bryan Ayars, CEO
(413) 528-9311 Ext: 1166
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
1/14/2014
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