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MAXI DRUG NORTH, INC.
CAH301312-00 HUGGINS HOSPITAL
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Covered Entity Details
Entity Name
HUGGINS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301312-00
Entity Address
240 SOUTH MAIN STREET
WOLFEBORO, NH 03894-0912
Medicare Provider Number
301312
Participating Start Date
9/29/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
MAXI DRUG NORTH, INC.
Pharmacy Address
RITE AID #10281
89 NH ROUTE 25
MEREDITH, NH 03253
Pharmacy Comments
Contract Details
Approval Date
10/7/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael Connelly, CEO
(603) 569-7507
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/7/2013
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