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SHAWS SUPERMARKETS INC
CH010340 Bucksport Regional Health Center
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Covered Entity Details
Entity Name
Bucksport Regional Health Center
Subdivision Name
BUCKSPORT REGIONAL HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH010340
Entity Address
110 Broadway
Bucksport, ME 04416
Grant Number
H80CS00591
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SHAWS SUPERMARKETS INC
Pharmacy Address
SHAWS PHARMACY #0057
175 HIGH ST
ELLSWORTH, ME 04605
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carol Carew, CEO
(207) 469-7371 Ext: 214
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
1/15/2024
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