Contract Pharmacy Details

THRIFTY PAYLESS, INC.
DSH050280 MERCY MEDICAL CENTER, REDDING

Covered Entity Details

Entity Name

MERCY MEDICAL CENTER, REDDING

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH050280

Entity Address

2175 ROSALINE AVENUE
REDDING, CA 96001-6009

Medicare Provider Number

050280

Participating Start Date

4/1/2006

Last Recertification Date

8/15/2024

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #6099
975 EAST CYPRESS AVENUE
REDDING, CA 96002

Pharmacy Comments

Contract Details

Approval Date

4/14/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/1/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Joseph D'Angina, CFO
(530) 225-6121

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

4/14/2020

340B Drug Pricing Program Database