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RITE AID DRUG PALACE, INC.
CH021630 COMMUNITY HEALTHCARE NETWORK
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Covered Entity Details
Entity Name
COMMUNITY HEALTHCARE NETWORK
Subdivision Name
COMMUNITY HEALTHCARE NETWORK
Type
HRSA-Funded Health Center
340B ID
CH021630
Entity Address
60 MADSION AVE
5TH FLOOR
NEW YORK, NY 10010
Grant Number
H80CS00597
Participating Start Date
10/1/2001
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
RITE AID DRUG PALACE, INC.
Pharmacy Address
RITE AID #1711
408 GRAND STREET
NEW YORK, NY 10002
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/24/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Alan Wengrofsky, CFO
(212) 545-2481
Contract Pharmacy Representative
Rite Aid
Lisa Foster, Manager-Pharmacy
(717) 214-2518
Signed By Date
7/15/2019
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