340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF PENNSYLVANIA, LLC

Pharmacy Address

RITE AID #478
5400 RISING SUN AVENUE
PHILADELPHIA, PA 19120

Pharmacy Comments

Approval Date

10/15/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

GERARD BLANEY, CHIEF FINANCIAL OFFICER
(215) 456-6020

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

10/15/2020