340B Drug Pricing Program Database
RITE AID OF PENNSYLVANIA, LLC
CH03414C SPECTRUM HEALTH SERVICES - information as of 5/7/2025 12:12:53 AM
Covered Entity Details
Entity Name
SPECTRUM HEALTH SERVICES
Subdivision Name
Cottman Avenue Health Center
Type
HRSA-Funded Health Center
340B ID
CH03414C
Entity Address
3525 Cottman Ave
Philadelphia, PA 19149-1607
Grant Number
H80CS00389
Participating Start Date
4/1/2023
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #872
164 WEST CHELTEN AVENUE
PHILADELPHIA, PA 19144
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shawna L Russell-Young, Chief Compliance Officer
(215) 668-0847
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
4/15/2025
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