Contract Pharmacy Details

RITE AID OF PENNSYLVANIA, LLC
CH03048E B-K Health Center, Inc.

Covered Entity Details

Entity Name

B-K Health Center, Inc.

Subdivision Name

NEPA Community Health Care-Hallstead

Type

HRSA-Funded Health Center

340B ID

CH03048E

Entity Address

25066 State Route 11
Hallstead, PA 18822

Grant Number

H80CS00420

Participating Start Date

7/1/2005

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

RITE AID OF PENNSYLVANIA, LLC

Pharmacy Address

RITE AID #2768
54 NORTH MAIN STREET
CARBONDALE, PA 18407

Pharmacy Comments

Contract Details

Approval Date

10/12/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/24/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Kristen N Follert, CEO
(570) 278-5157

Contract Pharmacy Representative

Rite Aid
Charlene Kaiser, VP, Managed Care Operations
(918) 645-6652

Signed By Date

10/12/2022

340B Drug Pricing Program Database