340B Drug Pricing Program Database
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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
RITE AID OF PENNSYLVANIA, LLC
CAH391300-00 GEISINGER JERSEY SHORE HOSPITAL
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Covered Entity Details
Entity Name
GEISINGER JERSEY SHORE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391300-00
Entity Address
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Medicare Provider Number
391300
Participating Start Date
1/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #4791
2023 LYCOMING CREEK ROAD
WILLIAMSPORT, PA 17701
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tammy Harding Anderer, Chief Administrative Officer
(570) 398-0100
Contract Pharmacy Representative
RiteAid
Mark Thorn, Manager, Pharmacy Replenishment Program
(734) 347-1086
Signed By Date
4/12/2023
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