340B Drug Pricing Program Database

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5332
1900 MCLOUGHLIN BLVD.
OREGON CITY, OR 97045

Pharmacy Comments

Approval Date

10/11/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DAVID EDWARDS, FQHC DIRECTOR
(503) 742-5325

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

10/11/2013