340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF PENNSYLVANIA, LLC
CH031700 CENTERVILLE CLINIC INC
Print
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
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #3443
6039 NATIONAL PIKE
GRINDSTONE, PA 15442
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session