Contract Pharmacy Details

RITE AID OF DELAWARE, INC.
CH032960 WESTSIDE FAMILY HEALTHCARE, INC.

Covered Entity Details

Entity Name

WESTSIDE FAMILY HEALTHCARE, INC.

Subdivision Name

Westside Family Healthcare - Administration Office

Type

HRSA-Funded Health Center

340B ID

CH032960

Entity Address

300 Water Street
Suite 200
Wilmington, DE 19801-5043

Grant Number

H80CS00789

Participating Start Date

4/1/2000

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

RITE AID OF DELAWARE, INC.

Pharmacy Address

RITE AID #1782
3801 N. MARKET STREET
WILMINGTON, DE 19802

Pharmacy Comments

Contract Details

Approval Date

10/14/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

LOLITA A. LOPEZ, PRESIDENT AND CEO
(302) 656-8292

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

10/14/2014

340B Drug Pricing Program Database