340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COMMUNITY PHARMACY-HERMON
DSH200033 EASTERN MAINE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
EASTERN MAINE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH200033
Entity Address
489 STATE STREET
BANGOR, ME 04401
Medicare Provider Number
200033
Participating Start Date
10/1/2003
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
COMMUNITY PHARMACY-HERMON
Pharmacy Address
2402 ROUTE 2
UNIT 1
HERMON, ME 04401-0666
Pharmacy Comments
Contract Details
Approval Date
10/12/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Helen McKinnon, VP Support Services
(207) 973-7842
Contract Pharmacy Representative
Amelia Arnold, Operations Manager
(207) 848-5020
Signed By Date
10/12/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session