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RITE AID OF MAINE, INC.
CAH201310-00 BRIDGTON HOSPITAL
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Covered Entity Details
Entity Name
BRIDGTON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201310-00
Entity Address
10 HOSPITAL DRIVE
BRIDGTON, ME 04009
Medicare Provider Number
201310
Participating Start Date
8/31/2010
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
RITE AID OF MAINE, INC.
Pharmacy Address
RITE AID #3292
81 MAIN STREET
LIVERMORE FALLS, ME 04254
Pharmacy Comments
Contract Details
Approval Date
2/14/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/18/2018
Ownership change
Contacts
Covered Entity Signing Official
Matthew Cox, CFO
(207) 795-0111
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
1/10/2013
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