Contract Pharmacy Details

RITE AID OF OHIO, INC.
CH053086A Lifecare Family Health & Dental Center, Inc.

Covered Entity Details

Entity Name

Lifecare Family Health & Dental Center, Inc.

Subdivision Name

Lincoln Street Health Center

Type

HRSA-Funded Health Center

340B ID

CH053086A

Entity Address

2725 Lincoln St E
Canton, OH 44707-2769

Grant Number

H80CS06654

Participating Start Date

4/1/2008

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

RITE AID OF OHIO, INC.

Pharmacy Address

RITE AID #3468
340 WEST MAIN STREET
CARROLLTON, OH 44615

Pharmacy Comments

Contract Details

Approval Date

7/9/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/14/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Janet C McPeek, CEO
(234) 521-7213

Contract Pharmacy Representative

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

Signed By Date

7/9/2020

340B Drug Pricing Program Database