Contract Pharmacy Details

ECKERD CORPORATION
FQHCLA342B Trillium Health, Inc.

Covered Entity Details

Entity Name

Trillium Health, Inc.

Subdivision Name

Trillium Health Mobile Access Clinic (MAC)

Type

Health Center Program Look-Alike

340B ID

FQHCLA342B

Entity Address

170 Science Pkwy
Rochester, NY 14620-4251

Grant Number

LALCS00182

Participating Start Date

4/1/2020

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

ECKERD CORPORATION

Pharmacy Address

RITE AID #10868
1567 PENFIELD ROAD
ROCHESTER, NY 14625

Pharmacy Comments

Contract Details

Approval Date

7/11/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/8/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Gregory Clyde Ewing, S.V.P. Compliance, Privacy, Technology & Regulatory Affairs/CCO
(585) 545-7218

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President, Managed Care
(717) 975-5968

Signed By Date

7/11/2022

340B Drug Pricing Program Database