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RITE AID OF VIRGINIA, INC.
CH030720 EASTERN SHORE RURAL HEALTH SYSTEM, INC
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Covered Entity Details
Entity Name
EASTERN SHORE RURAL HEALTH SYSTEM, INC
Subdivision Name
Eastern Shore Rural Health System, Inc.
Type
HRSA-Funded Health Center
340B ID
CH030720
Entity Address
20280 Market St
Onancock, VA 23417
Grant Number
H80CS00791
Participating Start Date
10/1/1999
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RITE AID OF VIRGINIA, INC.
Pharmacy Address
RITE AID #1900
4053 LANKFORD HIGHWAY
P.O. BOX 850
EXMORE, VA 23350
Pharmacy Comments
Contract Details
Approval Date
7/10/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/3/2018
Ownership change
Contacts
Covered Entity Signing Official
NANCY J. STERN, CEO
(757) 414-0400 Ext: 117
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
7/10/2017
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