Contract Pharmacy Details

ECKERD CORPORATION
DSH340070 ALAMANCE REGIONAL MEDICAL CENTER

Covered Entity Details

Entity Name

ALAMANCE REGIONAL MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH340070

Entity Address

1240 HUFFMAN MILL ROAD
BURLINGTON, NC 27215

Medicare Provider Number

340070

Participating Start Date

7/1/2015

Last Recertification Date

8/29/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

ECKERD CORPORATION

Pharmacy Address

RITE AID #11332
841 SOUTH MAIN STREET
GRAHAM, NC 27253

Pharmacy Comments

Contract Details

Approval Date

1/7/2016

Contract Begin Date

4/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/21/2018
Ownership change

Contacts

Covered Entity Signing Official

Jeffrey Jones, Executive VP and CFO
(336) 832-8005

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

1/7/2016

340B Drug Pricing Program Database