Contract Pharmacy Details

RITE AID OF PENNSYLVANIA, LLC
CH032700 KEYSTONE RURAL HEALTH CENTER

Covered Entity Details

Entity Name

KEYSTONE RURAL HEALTH CENTER

Subdivision Name

ADMINISTRATION

Type

HRSA-Funded Health Center

340B ID

CH032700

Entity Address

111 Chambers Hill Drive Ste 200
CHAMBERSBURG, PA 17201

Grant Number

H80CS00076

Participating Start Date

1/1/2000

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

RITE AID OF PENNSYLVANIA, LLC

Pharmacy Address

RITE AID #232
5035 LINCOLN WAY EAST
FAYETTEVILLE, PA 17222

Pharmacy Comments

Contract Details

Approval Date

10/10/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/29/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

JOANNE COCHRAN, PRESIDENT AND CEO
(717) 709-7906

Contract Pharmacy Representative

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

Signed By Date

10/10/2019

340B Drug Pricing Program Database