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HEALTH CENTER PHARMACY, LLC
CAH301304-00 THE NEW LONDON HOSPITAL ASSOCIATION, INC
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Covered Entity Details
Entity Name
THE NEW LONDON HOSPITAL ASSOCIATION, INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301304-00
Entity Address
273 COUNTY ROAD
NEW LONDON, NH 03257
Medicare Provider Number
301304
Participating Start Date
9/20/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
HEALTH CENTER PHARMACY, LLC
Pharmacy Address
11 JOHN STARK HIGHWAY
SUITE B
NEWPORT, NH 03773
Pharmacy Comments
Contract Details
Approval Date
1/13/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/20/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Bruce King, Chief Executive Officer
(603) 526-5512
Contract Pharmacy Representative
Tom Wilmot, Owner
(603) 865-5445
Signed By Date
1/13/2017
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