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THRIFTY PAYLESS, INC.
CAH051330-00 MODOC MEDICAL CENTER
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Covered Entity Details
Entity Name
MODOC MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051330-00
Entity Address
1111 N. Nagle Street
Alturas, CA 96101
Medicare Provider Number
051330
Participating Start Date
8/10/2010
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6353
432 NORTH MAIN STREET
ALTURAS, CA 96101
Pharmacy Comments
Contract Details
Approval Date
3/14/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Walter Beck, CEO
(530) 233-5883
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
1/15/2013
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