340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Rite Aid 6811
CAH391301-00 MUNCY VALLEY HOSPITAL
Print
Covered Entity Details
Entity Name
MUNCY VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391301-00
Entity Address
215 E. WATER STREET
MUNCY, PA 17756
Medicare Provider Number
391301
Participating Start Date
1/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
Rite Aid 6811
Pharmacy Address
701 Delran Pkwy
Delran, NJ 08075
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roger C Yost, CFO, North-Central PA Region
(570) 321-3175
Contract Pharmacy Representative
RiteAid
Mark Thorn, Manager, Pharmacy Replenishment Program
(734) 347-1086
Signed By Date
4/9/2025
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