340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF PENNSYLVANIA, LLC

Pharmacy Address

RITE AID #1854
1709 LIBERTY STREET
ERIE, PA 16502

Pharmacy Comments

Approval Date

7/7/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/31/2017
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

THOMAS FUCCI, EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER
(814) 452-5112

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

7/7/2014