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RITE AID OF PENNSYLVANIA, LLC
RRC390163-00 Armstrong County Memorial Hospital
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Covered Entity Details
Entity Name
Armstrong County Memorial Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC390163-00
Entity Address
One Nolte Drive
Kittanning, PA 16201
Medicare Provider Number
390163
Participating Start Date
4/1/2012
Last Recertification Date
8/24/2020
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #1548
610 BROAD STREET
NEW BETHLEHEM, PA 16242
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Matthew F Kociola, Chief Financial Officer
(724) 543-8618
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
1/14/2020
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