340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOLLAND DRUG INC
SCH200037-00 Franklin Memorial Hospital
Print
Covered Entity Details
Entity Name
Franklin Memorial Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH200037-00
Entity Address
111 Franklin Health Commons
Farmington, ME 04938
Medicare Provider Number
200037
Participating Start Date
7/1/2017
Last Recertification Date
9/5/2023
Entity Termination Date
8/20/2024
Pharmacy Details
Pharmacy Name
HOLLAND DRUG INC
Pharmacy Address
MT BLUE DRUG
624 WILTON RD
FARMINGTON, ME 04938-6138
Pharmacy Comments
Contract Details
Approval Date
6/2/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/20/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
John W. Cox, Regional Chief Financial Officer
(207) 744-6024
Contract Pharmacy Representative
Holland Drug Inc
Kevin Holland, Owner
(207) 778-6015
Signed By Date
6/2/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session