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GARDINER APOTHECARY
CH010460 HEALTHREACH COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
HEALTHREACH COMMUNITY HEALTH CENTERS
Subdivision Name
BINGHAM AREA HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH010460
Entity Address
237 Main St
Bingham, ME 04920
Grant Number
H80CS00797
Participating Start Date
10/1/2001
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
GARDINER APOTHECARY
Pharmacy Address
GARDINER APOTHECARY, LLC
35 BRIDGE ST
GARDINER, ME 04345-1848
Pharmacy Comments
Contract Details
Approval Date
10/6/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CONSTANCE COGGINS, CEO
(207) 872-5610
Contract Pharmacy Representative
Gardiner Apothecary
John Twadelle, Owner/Pharmacist
(207) 588-7202
Signed By Date
10/6/2017
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