340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF NEW YORK, INC.

Pharmacy Address

RITE AID #4257
3001-27 MERMAID AVENUE
MERMAID PLAZA S/C
BROOKLYN, NY 11224

Pharmacy Comments

Approval Date

1/13/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2021
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Donald P. Minarcik, VP Revenue Enhancement
(718) 488-3775

Contract Pharmacy Representative

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

Signed By Date

1/13/2020