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PRICE CHOPPER OPERATING CO NEW HAMPSHIRE
CAH301305-00 ALICE PECK DAY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
ALICE PECK DAY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301305-00
Entity Address
10 ALICE PECK DAY DRIVE
LEBANON, NH 03766
Medicare Provider Number
301305
Participating Start Date
4/1/2020
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
PRICE CHOPPER OPERATING CO NEW HAMPSHIRE
Pharmacy Address
PRICE CHOPPER PHARMACY 227
370 MIRACLE MILE ROAD
LEBANON, NH 03766-2635
Pharmacy Comments
Contract Details
Approval Date
10/17/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/18/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Todd P Roberts, CFO
(603) 308-0082
Contract Pharmacy Representative
Northeast Shared Services
Scott Guisinger, Vice President of Pharmacy
(518) 379-2409
Signed By Date
10/17/2023
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