Contract Pharmacy Details

RITE AID OF OHIO, INC.
CHC33659-00 My Community Health Center

Covered Entity Details

Entity Name

My Community Health Center

Subdivision Name

My Community Health Center - Canton

Type

HRSA-Funded Health Center

340B ID

CHC33659-00

Entity Address

2600 7th St. SW
Canton, OH 44710-0000

Grant Number

H80CS33659

Participating Start Date

4/1/2020

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

RITE AID OF OHIO, INC.

Pharmacy Address

RITE AID #2437
8619 WAYNESBURG DR SE
WAYNESBURG, OH 44688

Pharmacy Comments

Contract Details

Approval Date

1/4/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/15/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Terry Regula, CEO
(330) 363-3179

Contract Pharmacy Representative

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

Signed By Date

1/4/2021

340B Drug Pricing Program Database