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BARRE PHARMACY LLC
SCH470001-00 Central Vermont Medical Center
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Covered Entity Details
Entity Name
Central Vermont Medical Center
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH470001-00
Entity Address
130 FISHER ROAD
BERLIN, VT 05602
Medicare Provider Number
470001
Participating Start Date
9/30/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
BARRE PHARMACY LLC
Pharmacy Address
DBA MEDICINE SHOPPE
20 SOUTH MAIN STREET SUITE 1
BARRE, VT 05641
Pharmacy Comments
Contract Details
Approval Date
1/14/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Cheyenne Holland, CFO
(802) 371-4443
Contract Pharmacy Representative
Mayur Patel, Pharmacist
(845) 401-5301
Signed By Date
1/14/2015
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