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RITE AID OF PENNSYLVANIA, LLC
CAH391315-00 Elk Regional Health Center
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Covered Entity Details
Entity Name
Elk Regional Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391315-00
Entity Address
763 Johnsonburg RD
St. Marys, PA 15857
Medicare Provider Number
391315
Participating Start Date
1/1/2017
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #7853
901 S SAINT MARYS STREET
SAINT MARYS, PA 15857
Pharmacy Comments
Contract Details
Approval Date
1/18/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/15/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Laurie MacDonald, Chief Financial Officer
(814) 788-8743
Contract Pharmacy Representative
Rite Aid
Charlene Kaiser, VP, Managed Care Operations
(918) 645-6652
Signed By Date
1/18/2022
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