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COMMUNITY PHARMACY OF CORNISH
CHC00458-00 SACOPEE VALLEY HEALTH CENTER
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Covered Entity Details
Entity Name
SACOPEE VALLEY HEALTH CENTER
Subdivision Name
SACOPEE VALLEY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC00458-00
Entity Address
70 Main St
Porter, ME 04068
Grant Number
H80CS00458
Participating Start Date
7/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
COMMUNITY PHARMACY OF CORNISH
Pharmacy Address
200 MAPLE ST STE 3
CORNISH, ME 04020-3141
Pharmacy Comments
Contract Details
Approval Date
11/17/2011
Contract Begin Date
11/24/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Peabody, Director of Finance and Administration
(207) 625-8129 Ext: 133
Contract Pharmacy Representative
Community Pharmacy, LP
Amelia Arnold, Clinical Pharmacist
(207) 621-0698 Ext: 228
Signed By Date
11/17/2011
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