340B Drug Pricing Program Database

Pharmacy Name

THRIFTY WHITE PHARMACY #034

Pharmacy Address

2265 3RD AVE W
DICKINSON, ND 58601-2605

Pharmacy Comments

Approval Date

4/11/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kirk Cristy, Vice President Finance
(701) 323-6000 Ext: 6310

Contract Pharmacy Representative

Thrifty White
Zach Winter, Corporate Manager
(763) 248-7554

Signed By Date

4/11/2019