340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF PENNSYLVANIA, LLC

Pharmacy Address

RITE AID #1127
2131-59 NORTH BROAD STREET
PHILADELPHIA, PA 19122

Pharmacy Comments

Approval Date

4/3/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/23/2024
Pharmacy closed

Covered Entity Signing Official

Richard Cohen, President and CEO
(215) 985-2501

Contract Pharmacy Representative

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

Signed By Date

4/3/2018