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RITE AID OF NEW YORK, INC.
CH02371AG INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
Family Health Center of Harlem
Type
HRSA-Funded Health Center
340B ID
CH02371AG
Entity Address
1824 Madison Ave
New York, NY 10035-3832
Grant Number
H80CS00768
Participating Start Date
10/1/2010
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #2727
1510 SAINT NICHOLAS AVENUE
NEW YORK, NY 10033
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/19/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Caroline DiCioccio, Chief Financial Officer
(212) 633-0800 Ext: 1409
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
10/9/2019
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