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RITE AID OF NEW HAMPSHIRE, INC.
CAH301303-04 WEEKS MEDICAL CENTER
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Covered Entity Details
Entity Name
WEEKS MEDICAL CENTER
Subdivision Name
WEEKS MEDICAL CENTER-GROVETON RHC
Type
Critical Access Hospital
340B ID
CAH301303-04
Entity Address
47 CHURCH STREET
GROVETON, NH 03582
Medicare Provider Number
301303
Outpatient Facility Provider Number
303977
Participating Start Date
9/24/2010
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
RITE AID OF NEW HAMPSHIRE, INC.
Pharmacy Address
RITE AID #4182
136 MEADOW STREET
LITTLETON, NH 03561
Pharmacy Comments
03/22/2013 address update (was 118-136 MEADOW STREET)
Contract Details
Approval Date
10/12/2012
Contract Begin Date
10/12/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CELESTE PITTS, Vice President of Finance
(603) 788-5321
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
9/11/2012
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