Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CH101020 Sea Mar Community Health Centers

Covered Entity Details

Entity Name

Sea Mar Community Health Centers

Subdivision Name

Sea Mar CHC - Administration

Type

HRSA-Funded Health Center

340B ID

CH101020

Entity Address

1040 S. Henderson St.
Seattle, WA 98108

Grant Number

H80CS00445

Participating Start Date

12/1/1992

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5277
5700 100TH STREET SW STE 100
LAKEWOOD, WA 98499

Pharmacy Comments

Contract Details

Approval Date

10/18/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Mary Bartolo, VP, Deputy Director
(206) 763-5277

Contract Pharmacy Representative

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

Signed By Date

10/18/2016

340B Drug Pricing Program Database