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EVERSANA LIFE SCIENCE SERVICES, LLC
HM04101 MAINE MEDICAL CENTER
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Covered Entity Details
Entity Name
MAINE MEDICAL CENTER
Subdivision Name
MAINE HEMOPHILIA AND THROMBOSIS CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM04101
Entity Address
22 BRAMHALL ST
PORTLAND, ME 04101
Grant Number
H30MC24048
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
EVERSANA LIFE SCIENCE SERVICES, LLC
Pharmacy Address
17877 CHESTERFIELD AIRPORT ROAD
CHESTERFIELD, MO 63005-1211
Pharmacy Comments
Contract Details
Approval Date
7/7/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/30/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ALBERT G. SWALLOW, Vice President of Finance
(207) 662-3998
Contract Pharmacy Representative
Centric Health Resources
Chad Forinash, VP , Patient Dispensing
(314) 852-8687
Signed By Date
7/7/2014
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