340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF PENNSYLVANIA, LLC

Pharmacy Address

RITE AID #2451
5214-30 BALTIMORE AVENUE
PHILADELPHIA, PA 19143

Pharmacy Comments

Approval Date

10/12/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/24/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Stephanie Wroten, Chief Programs and Develop
(215) 471-2761 Ext: 3256

Contract Pharmacy Representative

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

Signed By Date

10/12/2018