Contract Pharmacy Details

THRIFT DRUG, INC.
SCH390048-00 GEISINGER LEWISTOWN HOSPITAL

Covered Entity Details

Entity Name

GEISINGER LEWISTOWN HOSPITAL

Subdivision Name

Type

Sole Community Hospital

340B ID

SCH390048-00

Entity Address

400 HIGHLAND AVENUE
LEWISTOWN, PA 17044

Medicare Provider Number

390048

Participating Start Date

4/14/2022

Last Recertification Date

8/16/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

THRIFT DRUG, INC.

Pharmacy Address

RITE AID #11013
510 WESTERLY PARKWAY
STATE COLLEGE, PA 16801

Pharmacy Comments

Contract Details

Approval Date

4/12/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/12/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Kirk E Thomas, Chief Administrative Officer
(717) 242-7102

Contract Pharmacy Representative

RiteAid
Mark Thorn, Manager, Pharmacy Replenishment Program
(734) 347-1086

Signed By Date

4/12/2023

340B Drug Pricing Program Database