Contract Pharmacy Details

RITECHOICE PHARMACY INC.
FP191296 Resources for Human Development

Covered Entity Details

Entity Name

Resources for Human Development

Subdivision Name

QCare Convenient Care at ShopRite

Type

Family Planning (Title X only)

340B ID

FP191296

Entity Address

2800 Fox Street
Unit A
Philadelphia, PA 19129

Grant Number

FPHPA006433

Participating Start Date

7/1/2014

Last Recertification Date

5/3/2021

Entity Termination Date

7/1/2022

Pharmacy Details

Pharmacy Name

RITECHOICE PHARMACY INC.

Pharmacy Address

6328 WOODLAND AVE
PHILADELPHIA, PA 19142-2322

Pharmacy Comments

Contract Details

Approval Date

10/14/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2022
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Dyann Roth, CEO
(215) 951-0300

Contract Pharmacy Representative

RiteChoice
Adrian Accay, Owner
(267) 336-7506

Signed By Date

10/14/2014