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APOTHECARY RX
DSH200024 CENTRAL MAINE MEDICAL CENTER
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Covered Entity Details
Entity Name
CENTRAL MAINE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH200024
Entity Address
300 MAIN STREET
LEWISTON, ME 04240-4500
Medicare Provider Number
200024
Participating Start Date
4/1/2022
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
APOTHECARY RX
Pharmacy Address
THE MEDICINE SHOPPE
373 SABATTUS ST
LEWISTON, ME 04240
Pharmacy Comments
Contract Details
Approval Date
11/4/2011
Contract Begin Date
11/9/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Contacts
Covered Entity Signing Official
Jim Kane, COO
(207) 795-2953
Contract Pharmacy Representative
Ann Loudermilk, Chief Operations Manager
(207) 783-3539
Signed By Date
11/2/2011
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