340B Drug Pricing Program Database

Pharmacy Name

MAXI DRUG SOUTH, LP

Pharmacy Address

RITE AID #10227
342 POWER ROAD
PAWTUCKET, RI 02860

Pharmacy Comments

Approval Date

4/10/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/18/2018
Ownership change

Covered Entity Signing Official

Raymond Joseph Lavoie, EXECUTIVE DIRECTOR
(401) 729-5235

Contract Pharmacy Representative

Rite Aid
Chris Hall, Senior Vice President
(717) 214-8834

Signed By Date

4/10/2015