Contract Pharmacy Details

THRIFT DRUG, INC.
CH03170N CENTERVILLE CLINIC INC

Covered Entity Details

Entity Name

CENTERVILLE CLINIC INC

Subdivision Name

FAIRCHANCE CLINIC

Type

HRSA-Funded Health Center

340B ID

CH03170N

Entity Address

93 N Morgantown St
Fairchance, PA 15436-1039

Grant Number

H80CS00705

Participating Start Date

1/1/2020

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

THRIFT DRUG, INC.

Pharmacy Address

RITE AID #10958
1396 WEST CHESTNUT ST.
WASHINGTON, PA 15301

Pharmacy Comments

Contract Details

Approval Date

10/7/2024

Contract Begin Date

1/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Barry R Niccolai, Executive Director
(724) 632-6801 Ext: 1100

Contract Pharmacy Representative

Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505

Signed By Date

10/7/2024

340B Drug Pricing Program Database