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RITE AID OF VIRGINIA, INC.
CH037150 RICHMOND, CITY OF
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Covered Entity Details
Entity Name
RICHMOND, CITY OF
Subdivision Name
VERNON J. HARRIS EAST END CHC
Type
HRSA-Funded Health Center
340B ID
CH037150
Entity Address
719 N 25th St
Richmond, VA 23223-6539
Grant Number
H80CS00174
Participating Start Date
4/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RITE AID OF VIRGINIA, INC.
Pharmacy Address
RITE AID #3715
520 WEST BROAD STREET
RICHMOND, VA 23220
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tracy Causey, CEO
(804) 253-1968
Contract Pharmacy Representative
Rite Aid
Lisa Foster, Manager-Pharmacy
(717) 214-2518
Signed By Date
10/15/2019
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