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THRIFTY PAYLESS, INC.
CH10070A WHITE BIRD CLINIC
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Covered Entity Details
Entity Name
WHITE BIRD CLINIC
Subdivision Name
WHITE BIRD MEDICAL/DENTAL CLINIC
Type
HRSA-Funded Health Center
340B ID
CH10070A
Entity Address
1400 Mill St
Eugene, OR 97401-4259
Grant Number
H80CS00055
Participating Start Date
10/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5374
1970 ECHO HOLLOW ROAD
EUGENE, OR 97402
Pharmacy Comments
Contract Details
Approval Date
10/4/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Benjamin I Brubaker, Administrative Coordinator
(541) 342-8255
Contract Pharmacy Representative
Rite Aid
Lisa Foster, Manager-Pharmacy
(717) 214-2518
Signed By Date
10/4/2019
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