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APOTHECARY RX
DSH200034 St. Mary's Regional Medical Center
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Covered Entity Details
Entity Name
St. Mary's Regional Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH200034
Entity Address
93 Campus Avenue
Lewiston, ME 04240-6030
Medicare Provider Number
200034
Participating Start Date
10/1/2002
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
APOTHECARY RX
Pharmacy Address
THE MEDICINE SHOPPE
373 SABATTUS ST
LEWISTON, ME 04240
Pharmacy Comments
Contract Details
Approval Date
3/10/2010
Contract Begin Date
3/10/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/15/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CAROLYN KASABIAN, CFO
(207) 777-8546
Contract Pharmacy Representative
LANA HOANG, OWNER/MANAGER
(207) 783-3539
Signed By Date
3/2/2010
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