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RITE AID OF OHIO, INC.
FQHCLA415 MetroHealth System, The
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Covered Entity Details
Entity Name
MetroHealth System, The
Subdivision Name
Glenville Community Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA415
Entity Address
11100 Saint Clair Ave
Cleveland, OH 44108-1943
Grant Number
LALCS33966
Participating Start Date
1/1/2021
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
RITE AID OF OHIO, INC.
Pharmacy Address
RITE AID #2640
5411 SUPERIOR AVENUE
CLEVELAND, OH 44103
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/12/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Julie Jacono, Chief Strategy Officer
(216) 310-2711
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
1/15/2021
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