Contract Pharmacy Details

ECKERD CORPORATION
CH043340 CareConnect Health, Inc.

Covered Entity Details

Entity Name

CareConnect Health, Inc.

Subdivision Name

CareConnect Family Practice and Pediatrics

Type

HRSA-Funded Health Center

340B ID

CH043340

Entity Address

510 Alston Street
Suite A
Richland, GA 31825-1404

Grant Number

H80CS00393

Participating Start Date

4/1/2002

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

ECKERD CORPORATION

Pharmacy Address

RITE AID #11785
708 NORTH CHURCH STREET
THOMASTON, GA 30286

Pharmacy Comments

Contract Details

Approval Date

7/3/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/21/2017
Pharmacy closed

Contacts

Covered Entity Signing Official

Ajay Gehlot, CEO
(229) 273-8881

Contract Pharmacy Representative

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

Signed By Date

7/3/2016

340B Drug Pricing Program Database