340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF MAINE, INC.
SCH200052-00 NORTHERN MAINE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
NORTHERN MAINE MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH200052-00
Entity Address
194 EAST MAIN ST
FORT KENT, ME 04743
Medicare Provider Number
200052
Participating Start Date
10/1/2014
Last Recertification Date
9/14/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
RITE AID OF MAINE, INC.
Pharmacy Address
RITE AID #2800
84 EAST MAIN STREET
FORT KENT, ME 04743
Pharmacy Comments
Contract Details
Approval Date
9/24/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/25/2018
Ownership change
Contacts
Covered Entity Signing Official
CINDY DAIGLE, CFO
(207) 834-1820 Ext: 0
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
9/24/2014
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