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RITE AID OF VERMONT, INC.
CAH471304-00 NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
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Covered Entity Details
Entity Name
NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471304-00
Entity Address
189 PROUTY DRIVE
NEWPORT, VT 05855
Medicare Provider Number
471304
Participating Start Date
9/28/2010
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
RITE AID OF VERMONT, INC.
Pharmacy Address
RITE AID #4159
4408 US ROUTE 5
NEWPORT, VT 05855
Pharmacy Comments
Contract Details
Approval Date
11/5/2012
Contract Begin Date
11/5/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/30/2018
Ownership change
Contacts
Covered Entity Signing Official
ANDRE BISSONETTE, V.P. FINANCE (C.F.O.)
(802) 334-3253
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
9/25/2012
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