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EXACT CARE PHARMACY
CAH301307-00 MaineHealth Memorial Hospital
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Covered Entity Details
Entity Name
MaineHealth Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301307-00
Entity Address
3073 White Mountain Hwy
North Conway, NH 03860-7101
Medicare Provider Number
301307
Participating Start Date
10/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
EXACT CARE PHARMACY
Pharmacy Address
DDCRX, LLC
2701 HIGHPOINT OAKS DR STE 100
LEWISVILLE, TX 75067-3896
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/23/2023
Ownership change
Contacts
Covered Entity Signing Official
Diana McLaughlin, CFO
(603) 356-0613
Contract Pharmacy Representative
Exaxtcare
Sarah L Fenwick, Senior Vice President of Network Contracting
(216) 369-2200 Ext: 5067
Signed By Date
1/17/2023
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