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THRIFTY PAYLESS, INC.
CH10102BK SEA-MAR COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SEA-MAR COMMUNITY HEALTH CENTER
Subdivision Name
Sea Mar CHC - Oak Harbor 31775 SR 20
Type
HRSA-Funded Health Center
340B ID
CH10102BK
Entity Address
31775 Sr 20 STE A3
Oak Harbor, WA 98277
Grant Number
H80CS00445
Participating Start Date
7/1/2013
Last Recertification Date
2/14/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5243
251 MARYSVILLE MALL
MARYSVILLE, WA 98270
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mary Bartolo, Executive Vice President
(206) 763-5277
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
10/11/2023
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