Contract Pharmacy Details

RITE AID OF NEW YORK, INC.
RWI10920 TOUCH- Together Our unity Can Heal, Inc.

Covered Entity Details

Entity Name

TOUCH- Together Our unity Can Heal, Inc.

Subdivision Name

Type

Ryan White Part A

340B ID

RWI10920

Entity Address

209 Route 9W
Congers, NY 10920

Grant Number

H89HA00015

Participating Start Date

1/1/2018

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

RITE AID OF NEW YORK, INC.

Pharmacy Address

RITE AID #1019
133 ROUTE 303
VALLEY COTTAGE, NY 10989

Pharmacy Comments

Contract Details

Approval Date

1/15/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Julian Palmer, Executive Director
(845) 268-8023

Contract Pharmacy Representative

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

Signed By Date

1/15/2020

340B Drug Pricing Program Database