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RITE AID OF NEW HAMPSHIRE, INC.
CH010760 Amoskeag Health
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Covered Entity Details
Entity Name
Amoskeag Health
Subdivision Name
Amoskeag Health
Type
HRSA-Funded Health Center
340B ID
CH010760
Entity Address
145 Hollis St
Manchester, NH 03101-1235
Grant Number
H80CS00571
Participating Start Date
4/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RITE AID OF NEW HAMPSHIRE, INC.
Pharmacy Address
RITE AID #1095
577 MAST ROAD
MANCHESTER, NH 03102
Pharmacy Comments
Contract Details
Approval Date
10/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kris McCracken, President/CEO
(603) 935-5210
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/14/2014
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