Contract Pharmacy Details

ECKERD CORPORATION
CHC26634-00 PHILADELPHIA FIGHT

Covered Entity Details

Entity Name

PHILADELPHIA FIGHT

Subdivision Name

Philadelphia FIGHT Jonathan Lax Treatment Center

Type

HRSA-Funded Health Center

340B ID

CHC26634-00

Entity Address

1233 Locust Street Floor 5, Suite 500 and Floor 4, Suite 400
Philadelphia, PA 19107-5453

Grant Number

H80CS26634

Participating Start Date

4/1/2014

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

ECKERD CORPORATION

Pharmacy Address

RITE AID #11135
6327-43 TORRESDALE AVENUE
PHILADELPHIA, PA 19135

Pharmacy Comments

Contract Details

Approval Date

10/14/2022

Contract Begin Date

11/15/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/11/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

JANE SHULL, EXECUTIVE DIRECTOR
(215) 985-4448 Ext: 102

Contract Pharmacy Representative

RiteAid
Christopher Moen, VP, Strategic Pharmacy Relationship
(717) 791-3129

Signed By Date

10/14/2022

340B Drug Pricing Program Database