Contract Pharmacy Details

RITE AID OF OHIO, INC.
CH052270 Hopewell Health Centers, Inc.

Covered Entity Details

Entity Name

Hopewell Health Centers, Inc.

Subdivision Name

Hopewell Health Centers - Chillicothe

Type

HRSA-Funded Health Center

340B ID

CH052270

Entity Address

1049 WESTERN AVENUE
CHILLICOTHE, OH 45601

Grant Number

H80CS00193

Participating Start Date

4/1/1996

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

RITE AID OF OHIO, INC.

Pharmacy Address

RITE AID #1635
306 EAST MAIN STREET
POMEROY, OH 45769

Pharmacy Comments

Contract Details

Approval Date

7/1/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/14/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

MARK BRIDENBAUGH, CEO
(740) 773-1006 Ext: 2004

Contract Pharmacy Representative

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

Signed By Date

7/1/2014

340B Drug Pricing Program Database