Contract Pharmacy Details

ECKERD CORPORATION
RWII12203 The Albany Damien Center, Inc.

Covered Entity Details

Entity Name

The Albany Damien Center, Inc.

Subdivision Name

Type

Ryan White Part B

340B ID

RWII12203

Entity Address

728 Madison Ave, Ste 100
Albany, NY 12208-3302

Grant Number

X07HA00044

Participating Start Date

10/1/2015

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

ECKERD CORPORATION

Pharmacy Address

RITE AID #10680
1483 ROUTE 9
CLIFTON PARK, NY 12065

Pharmacy Comments

Contract Details

Approval Date

7/9/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Perry Junjulas, Executive Director
(518) 449-7119 Ext: 102

Contract Pharmacy Representative

Rite Aid
Lisa Foster, Manager-Pharmacy
(717) 214-2518

Signed By Date

7/9/2020

340B Drug Pricing Program Database