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RITE AID OF NEW YORK, INC.
CAH331311-00 Little Falls Hospital
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Covered Entity Details
Entity Name
Little Falls Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331311-00
Entity Address
140 Burwell Street
Little Falls, NY 13365
Medicare Provider Number
331311
Participating Start Date
2/13/2013
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #884
9 EAST GRAND STREET
PALATINE BRIDGE, NY 13428
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/18/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James Vielkind, CFO
(315) 823-5281
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
4/15/2014
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