Contract Pharmacy Details

RITE AID OF CONNECTICUT, INC.
CH010060 FAIR HAVEN COMMUNITY HEALTH CLINIC INC

Covered Entity Details

Entity Name

FAIR HAVEN COMMUNITY HEALTH CLINIC INC

Subdivision Name

FAIR HAVEN COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH010060

Entity Address

374 Grand Ave
New Haven, CT 06513-3733

Grant Number

H80CS00741

Participating Start Date

7/1/2003

Last Recertification Date

2/15/2025

Pharmacy Details

Pharmacy Name

RITE AID OF CONNECTICUT, INC.

Pharmacy Address

RITE AID #1882
325 FERRY STREET
NEW HAVEN, CT 06513

Pharmacy Comments

Contract Details

Approval Date

1/11/2016

Contract Begin Date

4/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/4/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

SUZANNE LAGARDE, CEO
(203) 752-5129

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President Managed Care
(717) 214-8538

Signed By Date

1/11/2016

340B Drug Pricing Program Database