340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THRIFTY PAYLESS, INC.
CH091750 MOUNTAIN VALLEYS HEALTH CENTERS
Print
Covered Entity Details
Entity Name
MOUNTAIN VALLEYS HEALTH CENTERS
Subdivision Name
BIG VALLEY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH091750
Entity Address
554-850 MEDICAL CENTER DRIVE
BIEBER, CA 96009-0277
Grant Number
H80CS00260
Participating Start Date
4/1/2000
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5388
2521 SOUTH SIXTH STREET
KLAMATH FALLS, OR 97601
Pharmacy Comments
Contract Details
Approval Date
9/7/2012
Contract Begin Date
9/7/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVE JONES, CEO
(530) 294-5241
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
8/20/2012
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session