340B Drug Pricing Program Database

Pharmacy Name

RITE AID PHARMACY #11583

Pharmacy Address

818 HARDEN STREET
COLUMBIA, SC 29205

Pharmacy Comments

Approval Date

2/15/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/2/2017
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

James M. Bridges, Acute Care Executive
(803) 296-5174

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

1/10/2013