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Walgreens Central Fill #21400
CAH201306-00 RUMFORD HOSPITAL
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Covered Entity Details
Entity Name
RUMFORD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201306-00
Entity Address
420 Franklin Street
RUMFORD, ME 04276
Medicare Provider Number
201306
Participating Start Date
8/31/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21400
Pharmacy Address
44 Cabot Blvd.
Mansfield, MA 02048
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Littleson, Interim President & CEO
(207) 795-2947
Contract Pharmacy Representative
Central Maine Medical Center
Justin Mirick, Pharmacy Tech
(207) 795-2325
Signed By Date
4/14/2023
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