Contract Pharmacy Details

RAINA RX LLC
CH0452110 FIRST CHOICE PRIMARY CARE , INC

Covered Entity Details

Entity Name

FIRST CHOICE PRIMARY CARE , INC

Subdivision Name

FIRST CHOICE PRIMARY CARE INC

Type

HRSA-Funded Health Center

340B ID

CH0452110

Entity Address

770 WALNUT STREET
MACON, GA 31201

Grant Number

H80CS08242

Participating Start Date

10/1/2007

Last Recertification Date

2/2/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

RAINA RX LLC

Pharmacy Address

DBA ROUTE 300 PHARMACY
1208 ROUTE 300
SUITE 103
NEWBURGH, NY 12550

Pharmacy Comments

Contract Details

Approval Date

4/4/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Katherine McLeod, CEO
(478) 254-7204

Contract Pharmacy Representative

CarepathRx Health System Solution
Ryan Rushing, Vice President, 340B Solutions
(512) 541-0665

Signed By Date

4/4/2018

340B Drug Pricing Program Database