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THRIFTY PAYLESS, INC.
CH10792D COUNTY OF LANE
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Covered Entity Details
Entity Name
COUNTY OF LANE
Subdivision Name
Riverstone Clinic
Type
HRSA-Funded Health Center
340B ID
CH10792D
Entity Address
2073 Olympic St
Springfield, OR 97477-3413
Grant Number
H80CS01443
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5383
2130 MARCOLA ROAD
SPRINGFIELD, OR 97477
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eve Gray, H&HS Director
(541) 682-3942
Contract Pharmacy Representative
RiteAid
Mark Thorn, Manager, Pharmacy Replenishment Program
(734) 347-1086
Signed By Date
10/16/2023
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