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CVS MANCHESTER NH, L.L.C.
CAH301307-00 MaineHealth Memorial Hospital
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Covered Entity Details
Entity Name
MaineHealth Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301307-00
Entity Address
3073 White Mountain Hwy
North Conway, NH 03860-7101
Medicare Provider Number
301307
Participating Start Date
10/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
CVS MANCHESTER NH, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00650
1351 WHITE MOUNTAIN HWY
NORTHWAY SHPGPLZ
NORTH CONWAY, NH 03860
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott McKinnon, CEO
(603) 356-5461 Ext: 2110
Contract Pharmacy Representative
Dan Forgues, Pharmacy Director
() -
Signed By Date
4/15/2015
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