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RITE AID OF PENNSYLVANIA, LLC
FQHCLA399A MULTI-CULTURAL HEALTH EVALUATION DELIVERY SYSTEM, INC.
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Covered Entity Details
Entity Name
MULTI-CULTURAL HEALTH EVALUATION DELIVERY SYSTEM, INC.
Subdivision Name
MHEDS-John F. Kennedy Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA399A
Entity Address
2021 E 20th St
Erie, PA 16510
Grant Number
LALCS32712
Participating Start Date
1/1/2021
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #213
2715 PARADE STREET
ERIE, PA 16504
Pharmacy Comments
Contract Details
Approval Date
2/5/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/14/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Patricia J Stubber, CEO
(814) 453-6229
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
2/5/2021
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