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WALGREEN EASTERN CO., INC.
CAH201317-00 NORTHERN MAINE MEDICAL CENTER
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Covered Entity Details
Entity Name
NORTHERN MAINE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201317-00
Entity Address
194 EAST MAIN STREET
FORT KENT, ME 04743
Medicare Provider Number
201317
Participating Start Date
12/6/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #18248
112 BENNETT DR
CARIBOU, ME 04736
Pharmacy Comments
Contract Details
Approval Date
12/6/2024
Contract Begin Date
12/6/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alain Bois, Chief Operating Officer
(207) 834-1411
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
12/5/2024
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