340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF NEW YORK, INC.
FQHCLA370 His Branches, Inc.
Print
Covered Entity Details
Entity Name
His Branches, Inc.
Subdivision Name
His Branches Inc.: Grace Family Medicine
Type
Health Center Program Look-Alike
340B ID
FQHCLA370
Entity Address
340 ARNETT BLVD
ROCHESTER, NY 14619-1147
Grant Number
LALCS31626
Participating Start Date
7/1/2018
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #3597
535 PORTLAND AVENUE
ROCHESTER, NY 14621
Pharmacy Comments
Contract Details
Approval Date
1/11/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Janet Thirlby, Executive Director
(585) 235-9000 Ext: 236
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
1/11/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session