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RITE AID OF PENNSYLVANIA, LLC
FQHCLA410 Star Community Health, Inc.
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Covered Entity Details
Entity Name
Star Community Health, Inc.
Subdivision Name
Star Community Health Administration
Type
Health Center Program Look-Alike
340B ID
FQHCLA410
Entity Address
520 E Broad St Ste 108
Bethlehem, PA 18018-6330
Grant Number
LALCS33897
Participating Start Date
10/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #7836
1401 W TILGHMAN STREET
ALLENTOWN, PA 18102
Pharmacy Comments
Contract Details
Approval Date
7/17/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christine Davco, CEO
(610) 841-6180
Contract Pharmacy Representative
Rite Aid
David Bell, Rep
(717) 761-2633 Ext: 5311
Signed By Date
7/15/2020
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