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HANNAFORD BROS. CO., LLC
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
HANNAFORD BROS. CO., LLC
Pharmacy Address
DBA HANNAFORD SUPERMARKET & PHARMACY #81
STE 1 225 HIGH ST
ELLSWORTH, ME 04605
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
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
Hannaford Supermarket and Pharmacy
Daniel Montagnola, Business Development Manager
(315) 427-5178
Signed By Date
1/16/2024
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