Contract Pharmacy Details

COMMUNITY PHARMACY OF CORINTH
CH01458R PENOBSCOT COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

PENOBSCOT COMMUNITY HEALTH CENTER, INC.

Subdivision Name

ROSS MANOR

Type

HRSA-Funded Health Center

340B ID

CH01458R

Entity Address

758 BROADWAY
BANGOR, ME 04401

Grant Number

H80CS04291

Participating Start Date

1/1/2007

Last Recertification Date

2/9/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

COMMUNITY PHARMACY OF CORINTH

Pharmacy Address

689 MAIN ST.
CORINTH, ME 04427

Pharmacy Comments

Contract Details

Approval Date

7/20/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Lorelle Dwyer, President & CEO
(207) 992-9200

Contract Pharmacy Representative

Community Pharmacy, LP
Amelia Arnold, Clinical Pharmacist
(207) 621-0698 Ext: 228

Signed By Date

7/20/2024

340B Drug Pricing Program Database