Contract Pharmacy Details

RITE AID OF CONNECTICUT, INC.
CH01241L Staywell Health Care, Inc.

Covered Entity Details

Entity Name

Staywell Health Care, Inc.

Subdivision Name

Wilby School-Based Health Center

Type

HRSA-Funded Health Center

340B ID

CH01241L

Entity Address

568 Bucks Hill Road
Waterbury, CT 06704-0670

Grant Number

H80CS00350

Participating Start Date

7/1/2019

Last Recertification Date

2/16/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

RITE AID OF CONNECTICUT, INC.

Pharmacy Address

RITE AID #4620
744 WOLCOTT ROAD
WOLCOTT, CT 06716

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

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Donald Thompson, CEO
(203) 756-8021 Ext: 3016

Contract Pharmacy Representative

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

Signed By Date

1/14/2020

340B Drug Pricing Program Database