340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF WEST VIRGINIA, INC.

Pharmacy Address

RITE AID #2605
415 EAST MAIN STREET
KINGWOOD, WV 26537

Pharmacy Comments

Approval Date

4/3/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/9/2018
Ownership change

Covered Entity Signing Official

ROBERT W. MILVET Jr., CHIEF FINANCIAL OFFICER
(304) 329-4700

Contract Pharmacy Representative

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

Signed By Date

4/3/2014