Contract Pharmacy Details

RITE AID OF PENNSYLVANIA, INC.
CH033930 CHESPENN HEALTH SERVICES

Covered Entity Details

Entity Name

CHESPENN HEALTH SERVICES

Subdivision Name

CHESPENN HEALTH SERVICES

Type

HRSA-Funded Health Center

340B ID

CH033930

Entity Address

1510 Chester Pike, Suite 200
Eddystone, PA 19022

Grant Number

H80CS00738

Participating Start Date

1/1/2003

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

RITE AID OF PENNSYLVANIA, INC.

Pharmacy Address

RITE AID #2548
1600 EDGMONT AVENUE
CHESTER, PA 19013

Pharmacy Comments

Contract Details

Approval Date

4/25/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/5/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

Michael G. Lucas, CEO and President
(610) 485-3800 Ext: 630

Contract Pharmacy Representative

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

Signed By Date

4/25/2016

340B Drug Pricing Program Database