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RITE AID OF MAINE, INC.
CAH201309-00 MRH Corp. DBA Northern Light Mayo Hospital
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Covered Entity Details
Entity Name
MRH Corp. DBA Northern Light Mayo Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201309-00
Entity Address
897 WEST MAIN STREET
DOVER FOXCROFT, ME 04426-1029
Medicare Provider Number
201309
Participating Start Date
9/22/2010
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
RITE AID OF MAINE, INC.
Pharmacy Address
RITE AID #2785
3 HUDSON AVENUE
PO BOX 147
GUILFORD, ME 04443
Pharmacy Comments
Contract Details
Approval Date
4/11/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/25/2018
Ownership change
Contacts
Covered Entity Signing Official
DAN FORGUES, CHIEF FINANCIAL OFFICER
(207) 564-4285
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
4/11/2014
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