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RITE AID OF MARYLAND, INC.
CH03301H THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
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Covered Entity Details
Entity Name
THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Subdivision Name
THREE LOWER COUNTIES COMMUNITY SVCS INC
Type
HRSA-Funded Health Center
340B ID
CH03301H
Entity Address
12145 Elm St
Princess Anne, MD 21853-1358
Grant Number
H80CS00774
Participating Start Date
4/1/2007
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MARYLAND, INC.
Pharmacy Address
RITE AID #4920
1208 PARSONS ROAD
SALISBURY, MD 21801
Pharmacy Comments
Contract Details
Approval Date
10/6/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susanne Gray, CEO/President
(410) 749-1015
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/6/2014
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