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RITE AID OF PENNSYLVANIA, LLC
CAH391308-00 CORRY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CORRY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391308-00
Entity Address
965 SHAMROCK LANE
CORRY, PA 16407
Medicare Provider Number
391308
Participating Start Date
7/1/2015
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #1398
1 EAST HIGH STREET
UNION CITY, PA 16438
Pharmacy Comments
Contract Details
Approval Date
10/8/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Heller, Chief Financial Officer
(814) 664-4641 Ext: 1040
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President Managed Care
(717) 975-5968
Signed By Date
10/8/2020
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