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HANNAFORD BROS. CO., LLC
CHC00458-01 SACOPEE VALLEY HEALTH CENTER
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Covered Entity Details
Entity Name
SACOPEE VALLEY HEALTH CENTER
Subdivision Name
Sacopee Valley Health Center
Type
HRSA-Funded Health Center
340B ID
CHC00458-01
Entity Address
202 Maple St UNIT E
Cornish, ME 04020-3147
Grant Number
H80CS00458
Participating Start Date
7/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HANNAFORD BROS. CO., LLC
Pharmacy Address
DBA HANNAFORD SUPERMARKET & PHARMACY #81
109 PORTLAND ROAD
BRIDGTON, ME 04009
Pharmacy Comments
Contract Details
Approval Date
4/20/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/16/2024
Agreement registered in error
Contacts
Covered Entity Signing Official
Michelle Eastman, Chief Financial Officer
(207) 625-2235
Contract Pharmacy Representative
Hannaford Bros. Co., LLc
Deanne Sargent, Manager Pharmacy Network & Buisness Development
(207) 885-3044
Signed By Date
4/20/2023
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