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RITE AID OF PENNSYLVANIA, LLC
DSH390076 BRANDYWINE HOSPITAL
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Covered Entity Details
Entity Name
BRANDYWINE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390076
Entity Address
201 REECEVILLE ROAD
COATSVILLE, PA 19320
Medicare Provider Number
390076
Participating Start Date
10/1/2020
Last Recertification Date
9/10/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #992
320 EAST LINCOLN HIGHWAY
COATESVILLE, PA 19320
Pharmacy Comments
Contract Details
Approval Date
9/30/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
michael francis szymanski, cfo
(610) 383-8009
Contract Pharmacy Representative
Rite Aid
David Bell, Rep
(717) 761-2633 Ext: 5311
Signed By Date
9/30/2021
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