340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF NEW HAMPSHIRE, INC.

Pharmacy Address

RITE AID #4138
91 MAIN STREET
COLEBROOK, NH 03576

Pharmacy Comments

Approval Date

10/20/2011

Contract Begin Date

11/10/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/24/2018
Ownership change

Covered Entity Signing Official

Jill M. Gregoire, QA/CO Director
(603) 388-2422

Contract Pharmacy Representative

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

Signed By Date

10/27/2010