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 #4926
455 WEST MAIN STREET
MIDDLETOWN, DE 19709

Pharmacy Comments

Contract Details

Approval Date

4/12/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

DONNA M. GOODMAN, VP AND CFO/COO
(302) 656-8292

Contract Pharmacy Representative

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

Signed By Date

4/12/2019

340B Drug Pricing Program Database