Contract Pharmacy Details

RITE AID OF NEW YORK, INC.
CH020180 OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Subdivision Name

OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH020180

Entity Address

300 West Ave
Brockport, NY 14420-1118

Grant Number

H80CS00170

Participating Start Date

10/14/2008

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

RITE AID OF NEW YORK, INC.

Pharmacy Address

RITE AID #665
1422 SOUTH MAIN STREET
MEDINA, NY 14103

Pharmacy Comments

Contract Details

Approval Date

9/6/2012

Contract Begin Date

9/6/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/6/2018
Ownership change

Contacts

Covered Entity Signing Official

David W. Fisher, CEO
(585) 637-3905

Contract Pharmacy Representative

Rite Aid
Ruth Lightner, Director
(717) 731-6524

Signed By Date

8/14/2012

340B Drug Pricing Program Database