340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THRIFT DRUG, INC.
DSH390156 MERCY CATHOLIC MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MERCY CATHOLIC MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390156
Entity Address
1500 LANSDOWNE AVE
ATTN: Pharmacy Director
DARBY, PA 19023
Medicare Provider Number
390156
Participating Start Date
7/1/2003
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
THRIFT DRUG, INC.
Pharmacy Address
RITE AID #11140
2512 ISLAND AVENUE
PHILADELPHIA, PA 19153
Pharmacy Comments
Contract Details
Approval Date
4/4/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Wajda, CFO
(215) 335-6281
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/4/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session