340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF DELAWARE, INC.
CH031260 SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
Print
Covered Entity Details
Entity Name
SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
Subdivision Name
DBA HENRIETTA JOHNSON MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH031260
Entity Address
601 NEW CASTLE AVENUE
WILMINGTON, DE 19801
Grant Number
H80CS00385
Participating Start Date
10/13/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
RITE AID OF DELAWARE, INC.
Pharmacy Address
RITE AID #1782
3801 N. MARKET STREET
WILMINGTON, DE 19802
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shay Scott, CEO
(302) 655-6187 Ext: 230
Contract Pharmacy Representative
Rite Aid
Lisa Foster, Manager-Pharmacy
(717) 214-2518
Signed By Date
7/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session