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ST JOHN VALLEY PHARMACY LLC
CHC00396-00 FISH RIVER RURAL HEALTH
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Covered Entity Details
Entity Name
FISH RIVER RURAL HEALTH
Subdivision Name
EAGLE LAKE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC00396-00
Entity Address
10 CARTER STREET
EAGLE LAKE, ME 04739
Grant Number
H80CS00396
Participating Start Date
10/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ST JOHN VALLEY PHARMACY LLC
Pharmacy Address
182 MARKET ST
PO BOX 189
FORT KENT, ME 04743
Pharmacy Comments
Contract Details
Approval Date
11/25/2011
Contract Begin Date
11/28/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/7/2025
Ownership change
Contacts
Covered Entity Signing Official
Norman Fournier, CEO
(204) 444-5973
Contract Pharmacy Representative
Charles Ouellette, Owner
(207) 834-2880
Signed By Date
11/21/2011
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