340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF NEW HAMPSHIRE, INC.

Pharmacy Address

RITE AID #4182
136 MEADOW STREET
LITTLETON, NH 03561

Pharmacy Comments

03/22/2013 address update (was 118-136 MEADOW STREET)

Approval Date

4/3/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Warren West, CHIEF EXECUTIVE OFFICER
(603) 444-9598

Contract Pharmacy Representative

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

Signed By Date

4/3/2014