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WALGREEN EASTERN CO., INC.
CAH201306-00 RUMFORD HOSPITAL
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Covered Entity Details
Entity Name
RUMFORD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201306-00
Entity Address
420 Franklin Street
RUMFORD, ME 04276
Medicare Provider Number
201306
Participating Start Date
8/31/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #11416
53 PARIS ST
NORWAY, ME 04268
Pharmacy Comments
Contract Details
Approval Date
1/8/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Philippe Morissette, VP of Finance
(207) 795-2972
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/8/2018
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