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EASTPORT FAMILY PHARMACY
CH010380 REGIONAL MEDICAL CENTER AT LUBEC
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Covered Entity Details
Entity Name
REGIONAL MEDICAL CENTER AT LUBEC
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH010380
Entity Address
43 SOUTH LUBEC ROAD
LUBEC, ME 04652
Grant Number
H80CS00150
Participating Start Date
1/1/1997
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
EASTPORT FAMILY PHARMACY
Pharmacy Address
34 MIDDLE ST
EASTPORT, ME 04631
Pharmacy Comments
Contract Details
Approval Date
7/14/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/25/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marilyn F. Hughes, CEO
(207) 733-1090 Ext: 5201
Contract Pharmacy Representative
Benjamin Okafor, Owner
(207) 853-9200
Signed By Date
7/14/2017
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