Contract Pharmacy Details

GENOVESE DRUG STORES, INC.
CHC16639-00 COMMUNITY HEALTH CENTER OF RICHMOND, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTER OF RICHMOND, INC.

Subdivision Name

CHCR

Type

HRSA-Funded Health Center

340B ID

CHC16639-00

Entity Address

235 Port Richmond Avenue
Staten Island, NY 10302-1701

Grant Number

H80CS16639

Participating Start Date

7/1/2008

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

GENOVESE DRUG STORES, INC.

Pharmacy Address

RITE AID #10538
43-68 AMBOY ROAD
STATEN ISLAND, NY 10312

Pharmacy Comments

Contract Details

Approval Date

4/23/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

HENRY THOMPSON, EXECUTIVE DIRECTOR
(718) 876-2599

Contract Pharmacy Representative

Rite Aid
Owen McMahon, Group Vice President-Enterprise pharmaceutical Purchasing
(717) 732-0711

Signed By Date

4/23/2024

340B Drug Pricing Program Database