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DAVIS PHARMACY
CAH201307-00 MILLINOCKET REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
MILLINOCKET REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201307-00
Entity Address
200 SOMERSET STREET
MILLINOCKET, ME 04462
Medicare Provider Number
201307
Participating Start Date
7/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
DAVIS PHARMACY
Pharmacy Address
59 MAIN STREET
EAST MILLINOCKET, ME 04430
Pharmacy Comments
Contract Details
Approval Date
1/13/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary K. Martin, VP of Quality
(207) 723-5161 Ext: 370
Contract Pharmacy Representative
Signed By Date
1/13/2017
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