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RITE AID OF MAINE, INC.
CAH201313-00 Sebasticook Valley Health
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Covered Entity Details
Entity Name
Sebasticook Valley Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201313-00
Entity Address
447 NORTH MAIN STREET
PITTSFIELD, ME 04967
Medicare Provider Number
201313
Participating Start Date
7/1/2011
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
RITE AID OF MAINE, INC.
Pharmacy Address
RITE AID #3294
188 SPRING STREET
DEXTER, ME 04930
Pharmacy Comments
Contract Details
Approval Date
4/17/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/25/2018
Ownership change
Contacts
Covered Entity Signing Official
RANDALL CLARK, PRESIDENT
(207) 487-4022
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
4/17/2013
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