Contract Pharmacy Details

RITE AID OF NEW JERSEY, INC.
CH021270 COMMUNITY HEALTH CARE, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CARE, INC.

Subdivision Name

CompleteCare Adult & Specialty Medical Professionals

Type

HRSA-Funded Health Center

340B ID

CH021270

Entity Address

30 N Pearl St
BRIDGETON, NJ 08302

Grant Number

H80CS00164

Participating Start Date

1/1/2001

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

RITE AID OF NEW JERSEY, INC.

Pharmacy Address

RITE AID #116
907 NORTH HIGH STREET
MILLVILLE, NJ 08332

Pharmacy Comments

Contract Details

Approval Date

1/11/2013

Contract Begin Date

10/26/2012

Carve-In Effective Date

Contract Comments

01/11/2013 - public health emergency declared in the state of NJ effective 10/26/2012

Contacts

Covered Entity Signing Official

Gilbert Walter, CEO
(856) 391-1127

Contract Pharmacy Representative

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

Signed By Date

1/7/2013

340B Drug Pricing Program Database