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RITE AID OF NEW YORK, INC.
STD06851 WORLD HEALTH CLINICIANS
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Covered Entity Details
Entity Name
WORLD HEALTH CLINICIANS
Subdivision Name
CIRCLE CARE CENTER
Type
Sexually Transmitted Diseases
340B ID
STD06851
Entity Address
618 West Avenue
Norwalk, CT 06850
Grant Number
6NH25PS005155
Participating Start Date
4/1/2011
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #3581
85-10 NORTHERN BOULEVARD
JACKSON HEIGHTS, NY 11372
Pharmacy Comments
Contract Details
Approval Date
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/27/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Anthony Howard Crisci, President & CEO
(203) 852-9525 Ext: 326
Contract Pharmacy Representative
Rite Aid Pharmacy
Christopher Moen, VP, Strategic Pharmacy Relations
(717) 791-3129
Signed By Date
7/13/2022
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