340B Drug Pricing Program Database

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5537
531 NORTH GLENDALE AVENUE
GLENDALE, CA 91206

Pharmacy Comments

Approval Date

10/28/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

JON GIESE, VP of FINANCE, CFO
(818) 409-8289

Contract Pharmacy Representative

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

Signed By Date

10/28/2016