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THRIFTY PAYLESS, INC.
CAH501339-00 WHIDBEY GENERAL HOSPITAL
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Covered Entity Details
Entity Name
WHIDBEY GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501339-00
Entity Address
101 N MAIN ST
Inpatient Pharmacy
COUPEVILLE, WA 98239
Medicare Provider Number
501339
Participating Start Date
10/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6722
1609 MAIN ST
STE B
FREELAND, WA 98249-9467
Pharmacy Comments
Contract Details
Approval Date
10/9/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ron Telles, CFO
(360) 678-7656 Ext: 4007
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
10/9/2015
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