340B Drug Pricing Program Database

Pharmacy Name

THRIFTY WHITE PHARMACY #769

Pharmacy Address

2000 PAUL BUNYAN DR NW
BEMIDJI, MN 56601-5603

Pharmacy Comments

Approval Date

1/26/2016

Contract Begin Date

4/1/2016

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

CRAIG O. BOYER, Vice President of Finance
(218) 333-5508

Contract Pharmacy Representative

Thrifty White
Zach Winter, Corporate Manager
(763) 248-7554

Signed By Date

1/26/2016