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RITE AID OF PENNSYLVANIA, LLC
FQHCLA297 URBAN HEALTH INITIATIVES, INC.
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Covered Entity Details
Entity Name
URBAN HEALTH INITIATIVES, INC.
Subdivision Name
Urban Health Initiatives
Type
Health Center Program Look-Alike
340B ID
FQHCLA297
Entity Address
1408 S. Broad Street
Philadelphia, PA 19146
Grant Number
LALCS00130
Participating Start Date
7/1/2012
Last Recertification Date
3/3/2015
Entity Termination Date
7/1/2015
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #1936
2017-2023 SOUTH BROAD ST.
PHILADELPHIA, PA 19148
Pharmacy Comments
Contract Details
Approval Date
4/8/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2015
Contacts
Covered Entity Signing Official
Kobie T. West, CEO
(215) 755-0700 Ext: 132
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
4/8/2013
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