Contract Pharmacy Details

THRIFT DRUG, INC.
CH031700 CENTERVILLE CLINIC INC

Covered Entity Details

Entity Name

CENTERVILLE CLINIC INC

Subdivision Name

CENTERVILLE CLINICS, INC.; Joseph Yablonski Memorial Clinic

Type

HRSA-Funded Health Center

340B ID

CH031700

Entity Address

1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333-2114

Grant Number

H80CS00705

Participating Start Date

4/1/1995

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

THRIFT DRUG, INC.

Pharmacy Address

RITE AID #10958
1396 WEST CHESTNUT ST.
WASHINGTON, PA 15301

Pharmacy Comments

Contract Details

Approval Date

7/14/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Barry R Niccolai, Executive Director
(724) 632-6801 Ext: 1100

Contract Pharmacy Representative

Rite Aid
David Bell, Rep
(717) 761-2633 Ext: 5311

Signed By Date

7/14/2021

340B Drug Pricing Program Database