340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
M DRUG LLC
DSH200041 INLAND HOSPITAL
Print
Covered Entity Details
Entity Name
INLAND HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH200041
Entity Address
200 KENNEDY MEMORIAL DRIVE
WATERVILLE, ME 04901
Medicare Provider Number
200041
Participating Start Date
7/1/2008
Last Recertification Date
8/30/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
M DRUG LLC
Pharmacy Address
DBA NORTHERN LIGHT PHARMACY PENNY HILL
295 KENNEDY MEMORIAL DR STE 8
WATERVILLE, ME 04901
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
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Chris Frauenhofer, VICE PRESIDENT OF FINANCE
(207) 861-3013
Contract Pharmacy Representative
M DRUG llc
Matthew Marston, Interim Director
(207) 275-3239
Signed By Date
1/17/2023
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