Contract Pharmacy Details

THRIFT DRUG, INC.
DSH390164 UPMC - PRESBYTERIAN SHADYSIDE

Covered Entity Details

Entity Name

UPMC - PRESBYTERIAN SHADYSIDE

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH390164

Entity Address

200 LOTHROP STREET
PITTSBURGH, PA 15213

Medicare Provider Number

390164

Participating Start Date

4/1/2020

Last Recertification Date

9/3/2024

Pharmacy Details

Pharmacy Name

THRIFT DRUG, INC.

Pharmacy Address

RITE AID #10935
331 PENN AVENUE
WILKINSBURG, PA 15221

Pharmacy Comments

Contract Details

Approval Date

7/17/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/1/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Jared Weiner, CFO, UPMC Presbyterian Shadyside
(412) 864-7000

Contract Pharmacy Representative

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

Signed By Date

7/17/2023

340B Drug Pricing Program Database