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RITE AID OF PENNSYLVANIA, LLC
DSH390163 ARMSTRONG COUNTY MEMORIAL
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Covered Entity Details
Entity Name
ARMSTRONG COUNTY MEMORIAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390163
Entity Address
ONE NOLTE DRIVE
KITTANNING, PA 16201
Medicare Provider Number
390163
Participating Start Date
10/1/2021
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #1548
610 BROAD STREET
NEW BETHLEHEM, PA 16242
Pharmacy Comments
Contract Details
Approval Date
7/28/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew F Kociola, Chief Financial Officer
(724) 543-8618
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
7/12/2021
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