340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
CAH201309-00 MRH Corp. DBA Northern Light Mayo Hospital
Print
Covered Entity Details
Entity Name
MRH Corp. DBA Northern Light Mayo Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201309-00
Entity Address
897 WEST MAIN STREET
DOVER FOXCROFT, ME 04426-1029
Medicare Provider Number
201309
Participating Start Date
9/22/2010
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #18411
3 HUDSON AVE
GUILFORD, ME 04443
Pharmacy Comments
Contract Details
Approval Date
1/31/2018
Contract Begin Date
2/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nancy Glidden, CFO
(207) 564-4285
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/31/2018
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