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RITE AID OF PENNSYLVANIA, LLC
CHC24159-00 River Valley Health
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Covered Entity Details
Entity Name
River Valley Health
Subdivision Name
River Valley Health - Williamsport Medical and Dental
Type
HRSA-Funded Health Center
340B ID
CHC24159-00
Entity Address
471 Hepburn St
Williamsport, PA 17701-6122
Grant Number
H80CS24159
Participating Start Date
4/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #4791
2023 LYCOMING CREEK ROAD
WILLIAMSPORT, PA 17701
Pharmacy Comments
Contract Details
Approval Date
7/2/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ellen Krajewski, President & CEO
(570) 567-5412
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
7/2/2014
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