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THRIFTY PAYLESS, INC.
CAH051318-00 St Joseph Health Northern California LLC- DBA Redwood Memorial Hospital
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Covered Entity Details
Entity Name
St Joseph Health Northern California LLC- DBA Redwood Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051318-00
Entity Address
3300 Renner Drive
Fortuna, CA 95540
Medicare Provider Number
051318
Participating Start Date
4/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6041
725 SOUTH FORTUNA BOULEVARD
FORTUNA, CA 95540
Pharmacy Comments
Contract Details
Approval Date
1/25/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/29/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patti Pilgrim, Regional CFO
(707) 525-5323
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President, Managed Care
(717) 975-5968
Signed By Date
1/25/2021
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