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RITE AID OF PENNSYLVANIA, LLC
CH03270W KEYSTONE RURAL HEALTH CENTER
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Covered Entity Details
Entity Name
KEYSTONE RURAL HEALTH CENTER
Subdivision Name
Keystone School Health Center
Type
HRSA-Funded Health Center
340B ID
CH03270W
Entity Address
511 S 6th St Health Center Suite
Chambersburg, PA 17201-3405
Grant Number
H80CS00076
Participating Start Date
1/1/2017
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #3609
415 EAST QUEEN STREET
CHAMBERSBURG, PA 17201
Pharmacy Comments
Contract Details
Approval Date
1/16/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JOANNE COCHRAN, PRESIDENT AND CEO
(717) 709-7906
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
1/16/2023
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