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MOOSEHEAD DRUG INC
CAH201301-00 CHARLES A. DEAN MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CHARLES A. DEAN MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201301-00
Entity Address
364 PRITHAM AVENUE
GREENVILLE, ME 04441
Medicare Provider Number
201301
Participating Start Date
1/1/2011
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
MOOSEHEAD DRUG INC
Pharmacy Address
HARRIS DRUG STORE
PO BOX 530
10 PRITHAM AVENUE
GREENVILLE, ME 04441-0530
Pharmacy Comments
Contract Details
Approval Date
4/14/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
EUGENE F. MURRAY, CEO
(207) 695-5271
Contract Pharmacy Representative
Michael Harris, Owner
(207) 695-2921
Signed By Date
4/14/2014
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