340B Drug Pricing Program Database

Pharmacy Name

MAXI DRUG NORTH, INC.

Pharmacy Address

RITE AID #10274
122 MCGREGOR STREET STE 4
MANCHESTER, NH 03102

Pharmacy Comments

Approval Date

1/15/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kris McCracken, President/CEO
(603) 935-5210

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

1/15/2014