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SEASIDE PHARMACY
CAH201300-00 BLUE HILL MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
BLUE HILL MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201300-00
Entity Address
57 WATER STREET
BLUE HILL, ME 04614
Medicare Provider Number
201300
Participating Start Date
1/1/2011
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
SEASIDE PHARMACY
Pharmacy Address
59 SCHOOL ST
STONINGTON, ME 04681-3610
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/14/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wendy Jones, CFO
(207) 374-3409
Contract Pharmacy Representative
Douglas R. Edinger, VP- CFO
(207) 367-2575
Signed By Date
10/17/2016
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