Contract Pharmacy Details

RITE AID OF CONNECTICUT, INC.
CH011830 CHARTER OAK HEALTH CENTER

Covered Entity Details

Entity Name

CHARTER OAK HEALTH CENTER

Subdivision Name

CHARTER OAK HEALTH CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH011830

Entity Address

21 Grand St
Hartford, CT 06106-1541

Grant Number

H80CS00153

Participating Start Date

1/1/2004

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

RITE AID OF CONNECTICUT, INC.

Pharmacy Address

RITE AID #198
329 ELLINGTON ROAD
EAST HARTFORD, CT 06108

Pharmacy Comments

Contract Details

Approval Date

4/13/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/30/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Nichele A. Mullins, President and CEO
(860) 550-7578

Contract Pharmacy Representative

Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033

Signed By Date

4/13/2018

340B Drug Pricing Program Database