340B Drug Pricing Program Database

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5371
4041 NW LOGAN ROAD
LINCOLN CITY, OR 97367

Pharmacy Comments

Approval Date

2/20/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/8/2024
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Dan Smith, Chief Financial Officer
(541) 768-5390

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

1/11/2013