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RITE AID OF NEW YORK, INC.
CH021630 COMMUNITY HEALTHCARE NETWORK
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Covered Entity Details
Entity Name
COMMUNITY HEALTHCARE NETWORK
Subdivision Name
COMMUNITY HEALTHCARE NETWORK
Type
HRSA-Funded Health Center
340B ID
CH021630
Entity Address
60 MADSION AVE
5TH FLOOR
NEW YORK, NY 10010
Grant Number
H80CS00597
Participating Start Date
10/1/2001
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #2010
4046 BROADWAY
NEW YORK, NY 10032
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/12/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alan Wengrofsky, CFO
(212) 545-2481
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
4/11/2024
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