340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF PENNSYLVANIA, LLC
CH030220E BROAD TOP AREA MEDICAL CENTER, INC.
Print
Covered Entity Details
Entity Name
BROAD TOP AREA MEDICAL CENTER, INC.
Subdivision Name
Broad Top Area Medical Center Family Care Center
Type
HRSA-Funded Health Center
340B ID
CH030220E
Entity Address
835 Washington Street
Huntingdon, PA 16652-1725
Grant Number
H80CS00330
Participating Start Date
4/1/2017
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #233
9635 WILLIAM PENN HIGHWAY
HUNTINGDON, PA 16652
Pharmacy Comments
Contract Details
Approval Date
7/14/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Roth, CEO
(814) 635-7351
Contract Pharmacy Representative
RiteAid
Mark Thorn, Manager, Pharmacy Replenishment Program
(734) 347-1086
Signed By Date
7/14/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session