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M DRUG LLC DBA NORTHERN LIGHT PHARMACY D
SCH200050-00 MAINE COAST MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MAINE COAST MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH200050-00
Entity Address
50 UNION STREET
ELLSWORTH, ME 04605
Medicare Provider Number
200050
Participating Start Date
4/1/2020
Last Recertification Date
9/9/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
M DRUG LLC DBA NORTHERN LIGHT PHARMACY D
Pharmacy Address
161 HIGH ST
ELLSWORTH, ME 04605
Pharmacy Comments
Contract Details
Approval Date
10/3/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Wendy June Merchant, VP of Finance
(207) 610-2429
Contract Pharmacy Representative
M DRUG llc
Matthew Marston, Interim Director
(207) 275-3239
Signed By Date
10/3/2023
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