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THRIFTY PAYLESS, INC.
CAH501329-00 UNITED GENERAL MEDICAL CENTER
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Covered Entity Details
Entity Name
UNITED GENERAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501329-00
Entity Address
2000 HOSPITAL DRIVE
SEDRO WOOLLEY, WA 98284
Medicare Provider Number
501329
Participating Start Date
7/1/2019
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5248
851 MOORE STREET
SEDRO WOOLLEY, WA 98284
Pharmacy Comments
Contract Details
Approval Date
1/8/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Krista N Touros, CFO
(360) 788-6754 Ext: 6754
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President, Managed Care
(717) 975-5968
Signed By Date
1/8/2021
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