Contract Pharmacy Details

RAINA RX LLC
CH071170 COMMUNITY HEALTH CARE, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CARE, INC.

Subdivision Name

Community Health Care, Inc. River Drive Clinic

Type

HRSA-Funded Health Center

340B ID

CH071170

Entity Address

500 W River Dr
Davenport, IA 52801

Grant Number

H80CS00670

Participating Start Date

12/1/1992

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

RAINA RX LLC

Pharmacy Address

DBA ROUTE 300 PHARMACY
1208 ROUTE 300
SUITE 103
NEWBURGH, NY 12550

Pharmacy Comments

Contract Details

Approval Date

7/15/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Thomas Bowman, CEO
(563) 336-3112

Contract Pharmacy Representative

CarepathRx Health System Solution
Ryan Rushing, Vice President, 340B Solutions
(512) 541-0665

Signed By Date

7/15/2019

340B Drug Pricing Program Database