Contract Pharmacy Details

RITE AID OF KENTUCKY, INC.
CHC09959-00 GRACE COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

GRACE COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Grace Community Health Center, Inc

Type

HRSA-Funded Health Center

340B ID

CHC09959-00

Entity Address

39 Cumberland Gap Plaza
Gray, KY 40734

Grant Number

H80CS09959

Participating Start Date

10/1/2010

Last Recertification Date

2/1/2023

Entity Termination Date

1/1/2024

Pharmacy Details

Pharmacy Name

RITE AID OF KENTUCKY, INC.

Pharmacy Address

RITE AID #1656
1320 CUMBERLAND FALLS HIGHWAY
CORBIN, KY 40701

Pharmacy Comments

Contract Details

Approval Date

4/4/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/19/2018
Ownership change

Contacts

Covered Entity Signing Official

Michael Stanley, Chief Executive Officer
(606) 526-9005

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President Managed Care
(717) 975-5978

Signed By Date

4/4/2016

340B Drug Pricing Program Database