340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF MAINE, INC.

Pharmacy Address

RITE AID #4153
83 HOSPITAL STREET
AUGUSTA, ME 04330

Pharmacy Comments

Approval Date

2/15/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/18/2018
Ownership change

Covered Entity Signing Official

MICHAEL KOZIOL, SR VP/CHIEF FINANCIAL OFFICER
(207) 626-1212

Contract Pharmacy Representative

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

Signed By Date

1/10/2013