Contract Pharmacy Details

RITE AID OF PENNSYLVANIA, LLC
FQHCLA189 MON VALLEY COMMUNITY HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

MON VALLEY COMMUNITY HEALTH SERVICES, INC.

Subdivision Name

SPHS FAMILY HEALTH COMPLEX

Type

Health Center Program Look-Alike

340B ID

FQHCLA189

Entity Address

2 EASTGATE AVENUE
MONESSEN, PA 15062

Grant Number

LALCS00065

Participating Start Date

9/9/2005

Last Recertification Date

2/8/2019

Entity Termination Date

10/1/2019

Pharmacy Details

Pharmacy Name

RITE AID OF PENNSYLVANIA, LLC

Pharmacy Address

RITE AID #4083
101 5TH STREET
CHARLEROI, PA 15022

Pharmacy Comments

Contract Details

Approval Date

4/7/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2019
Covered Entity Terminated

Contacts

Covered Entity Signing Official

LUTHER SHEETS, COO
(724) 489-3100 Ext: 4114

Contract Pharmacy Representative

Rite Aid
Chris Hall, Senior Vice President
(717) 214-8834

Signed By Date

4/7/2015

340B Drug Pricing Program Database