340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF NEW HAMPSHIRE, INC.

Pharmacy Address

RITE AID #4741
1631 ELM STREET
MANCHESTER, NH 03101

Pharmacy Comments

Approval Date

10/20/2011

Contract Begin Date

5/17/2005

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

EDWARD G. GEORGE, PRESIDENT/CEO
(603) 626-9500 Ext: 9513

Contract Pharmacy Representative

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

Signed By Date

5/17/2005