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MAXI DRUG, INC.
CH01326H Community Health Center Of Franklin County, Incorporated
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Covered Entity Details
Entity Name
Community Health Center Of Franklin County, Incorporated
Subdivision Name
North Quabbin Health Center- Dental
Type
HRSA-Funded Health Center
340B ID
CH01326H
Entity Address
119 New Athol Rd, Building 1 STE 120
Orange, MA 01364-9603
Grant Number
H80CS00806
Participating Start Date
10/1/2021
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
MAXI DRUG, INC.
Pharmacy Address
RITE AID #10074
107 MAIN STREET
GREENFIELD, MA 01301
Pharmacy Comments
Contract Details
Approval Date
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allison Hemley van der Velden, CEO
(413) 325-8708
Contract Pharmacy Representative
CaptureRX
Joe Mast, Rite Aid Key Account Manager
(717) 214-8538
Signed By Date
4/8/2025
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