Contract Pharmacy Details

THE LANE DRUG COMPANY
CH05096K COMMUNITY & RURAL HEALTH SERVICES

Covered Entity Details

Entity Name

COMMUNITY & RURAL HEALTH SERVICES

Subdivision Name

COMMUNITY HEALTH SERVICES - LIMA

Type

HRSA-Funded Health Center

340B ID

CH05096K

Entity Address

1005 Bellefontaine Avenue, Suite 300
Lima, OH 45804

Grant Number

H80CS00661

Participating Start Date

1/1/2017

Last Recertification Date

2/1/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

THE LANE DRUG COMPANY

Pharmacy Address

RITE AID #2319
506 WEST MARKET STREET
LIMA, OH 45801

Pharmacy Comments

Contract Details

Approval Date

7/11/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

JOSEPH LISZAK, CEO
(419) 334-8943 Ext: 225

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

7/11/2018

340B Drug Pricing Program Database