Contract Pharmacy Details

RITE AID NEW JERSEY, INC.
CH024490 NORTH HUDSON COMMUNITY ACTION CORPORATION

Covered Entity Details

Entity Name

NORTH HUDSON COMMUNITY ACTION CORPORATION

Subdivision Name

North Hudson Community Action Corporation @ West New York

Type

HRSA-Funded Health Center

340B ID

CH024490

Entity Address

5301 BROADWAY
WEST NEW YORK, NJ 07093-2622

Grant Number

H80CS00521

Participating Start Date

1/1/2004

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

RITE AID NEW JERSEY, INC.

Pharmacy Address

RITE AID #7867
47 W PALISADE AVENUE
ENGLEWOOD, NJ 07631

Pharmacy Comments

Contract Details

Approval Date

4/18/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/12/2021
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Joan Quigley, President/CEO
(201) 210-0100 Ext: 10100

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President Managed Care
(717) 975-5978

Signed By Date

4/18/2016

340B Drug Pricing Program Database