340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF PENNSYLVANIA, LLC

Pharmacy Address

RITE AID #552
6401 OXFORD AVENUE
PHILADELPHIA, PA 19111

Pharmacy Comments

Approval Date

1/15/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

NEIL G. LUBARSKY, SR VP FOR FINANCE
(215) 955-9993

Contract Pharmacy Representative

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

Signed By Date

1/15/2020