Contract Pharmacy Details

ECKERD CORPORATION
CH02124B FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC

Covered Entity Details

Entity Name

FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC

Subdivision Name

MARATHON MEDICAL OFFICE

Type

HRSA-Funded Health Center

340B ID

CH02124B

Entity Address

20 E MAIN STREET
MARATHON, NY 13803-3208

Grant Number

H80CS00065

Participating Start Date

1/1/1997

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

ECKERD CORPORATION

Pharmacy Address

RITE AID #10738
1067 STATE ROUTE 222
CORTLAND, NY 13045

Pharmacy Comments

Contract Details

Approval Date

1/13/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kimberly Marie Osborne, Chief Executive Officer
(607) 753-3797

Contract Pharmacy Representative

RiteAid
Mark Thorn, Manager, Pharmacy Replenishment Program
(734) 347-1086

Signed By Date

1/13/2023

340B Drug Pricing Program Database