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ECKERD CORPORATION
CHC54598-02 TRILLIUM HEALTH, INC.
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Covered Entity Details
Entity Name
TRILLIUM HEALTH, INC.
Subdivision Name
Trillium Health at Monroe Square (THMS)
Type
HRSA-Funded Health Center
340B ID
CHC54598-02
Entity Address
259 Monroe Ave Ste 100
Rochester, NY 14607-3632
Grant Number
H80CS54598
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
ECKERD CORPORATION
Pharmacy Address
RITE AID #10849
101 S. MAIN STREET
NEWARK, NY 14513
Pharmacy Comments
Contract Details
Approval Date
3/7/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregory Clyde Ewing, S.V.P. Compliance, Privacy, Technology & Regulatory Affairs/CCO
(585) 545-7218
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
3/6/2025
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