340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF PENNSYLVANIA, LLC

Pharmacy Address

RITE AID #2685
838 FIFTH AVENUE
FORD CITY, PA 16226

Pharmacy Comments

Approval Date

7/28/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

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