340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THRIFTY PAYLESS, INC.
DSH500053 KENNEWICK GENERAL HOSPITAL
Print
Covered Entity Details
Entity Name
KENNEWICK GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500053
Entity Address
900 S AUBURN STREET
KENNEWICK, WA 99336
Medicare Provider Number
500053
Participating Start Date
10/1/2004
Last Recertification Date
12/6/2017
Entity Termination Date
10/1/2018
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5316
1901 NORTH STEPTOE STREET
KENNEWICK, WA 99336
Pharmacy Comments
Contract Details
Approval Date
10/10/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tony Sudduth, CFO
(509) 221-5349
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/10/2014
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