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RITE AID OF NEW HAMPSHIRE, INC.
CAH301301-00 COTTAGE HOSPITAL
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Covered Entity Details
Entity Name
COTTAGE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301301-00
Entity Address
90 SWIFTWATER ROAD
WOODSVILLE, NH 03785
Medicare Provider Number
301301
Participating Start Date
9/14/2010
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
RITE AID OF NEW HAMPSHIRE, INC.
Pharmacy Address
RITE AID #4871
4976 DARTMOUTH COLLEGE HIGHWAY
WOODSVILLE, NH 03785
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/2/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
MARIA RYAN, CEO
(603) 747-9244
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/14/2016
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