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MAXI GREEN, INC.
CHC10611-01 Lamoille Health Partners, Inc.
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Covered Entity Details
Entity Name
Lamoille Health Partners, Inc.
Subdivision Name
Lamoille Health Behavioral Health & Wellness
Type
HRSA-Funded Health Center
340B ID
CHC10611-01
Entity Address
607 WASHINGTON HIGHWAY
MORRISVILLE, VT 05661
Grant Number
H80CS10611
Participating Start Date
4/1/2008
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
MAXI GREEN, INC.
Pharmacy Address
RITE AID #10330
48 CONGRESS STREET
PO BOX 731
MORRISVILLE, VT 05661
Pharmacy Comments
Contract Details
Approval Date
11/2/2012
Contract Begin Date
11/2/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2018
Ownership change
Contacts
Covered Entity Signing Official
David Brace, Chief Financial Officer
(802) 851-8602
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
9/28/2012
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