Contract Pharmacy Details

RITE AID OF NEW YORK, INC.
CH021887R SUNSET PARK HEALTH COUNCIL, INC.

Covered Entity Details

Entity Name

SUNSET PARK HEALTH COUNCIL, INC.

Subdivision Name

WOMEN INFANTS CHILDREN FAMILY HEALTH CENTER at NYU LANGONE

Type

HRSA-Funded Health Center

340B ID

CH021887R

Entity Address

5610 Second Avenue
Brooklyn, NY 11220

Grant Number

H80CS07914

Participating Start Date

10/1/2012

Last Recertification Date

2/26/2025

Pharmacy Details

Pharmacy Name

RITE AID OF NEW YORK, INC.

Pharmacy Address

RITE AID #2612
344 AVENUE X
BROOKLYN, NY 11223

Pharmacy Comments

Contract Details

Approval Date

4/6/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/8/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Larry K. McReynolds, Executive Director
(718) 630-7216

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

4/6/2023

340B Drug Pricing Program Database