340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MAXI DRUG NORTH, INC.
CAH301303-04 WEEKS MEDICAL CENTER
Print
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
MAXI DRUG NORTH, INC.
Pharmacy Address
RITE AID #10287
200 PLEASANT STREET
BERLIN, NH 03570
Pharmacy Comments
Contract Details
Approval Date
1/19/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/26/2018
Ownership change
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
1/19/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session