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RITE AID OF PENNSYLVANIA, LLC
CH03223B Sto-rox Neighborhood Health Council, Inc.
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Covered Entity Details
Entity Name
Sto-rox Neighborhood Health Council, Inc.
Subdivision Name
Hilltop Community HealthCare Center
Type
HRSA-Funded Health Center
340B ID
CH03223B
Entity Address
151 Ruth St
Pittsburgh, PA 15211-2307
Grant Number
H80CS00072
Participating Start Date
1/1/2023
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #269
230 HAYS AVENUE
PITTSBURGH, PA 15210
Pharmacy Comments
Contract Details
Approval Date
7/7/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Brady Rebecca, COO
(412) 771-6462 Ext: 223
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
7/7/2017
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