Contract Pharmacy Details

THRIFT DRUG, INC.
DSH390113 Meadville Medical Center

Covered Entity Details

Entity Name

Meadville Medical Center

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH390113

Entity Address

751 Liberty Street
Meadville, PA 16335

Medicare Provider Number

390113

Participating Start Date

7/1/2013

Last Recertification Date

8/27/2024

Pharmacy Details

Pharmacy Name

THRIFT DRUG, INC.

Pharmacy Address

RITE AID #10999
100 S THIRD STREET
PO BOX 276
CONNEAUT LAKE, PA 16316

Pharmacy Comments

Contract Details

Approval Date

7/14/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Ellie Jo Amory, 340B Program Administrator
(814) 333-5669

Contract Pharmacy Representative

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

Signed By Date

7/14/2021

340B Drug Pricing Program Database