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THRIFTY PAYLESS, INC.
CAH051305-00 MAYERS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MAYERS MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051305-00
Entity Address
43563 HIGHWAY 299 EAST
FALL RIVER MILLS, CA 96028
Medicare Provider Number
051305
Participating Start Date
1/1/2021
Last Recertification Date
8/14/2024
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
4/10/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/8/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MATTHEW REES, CEO
(530) 336-5554 Ext: 1132
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
4/10/2014
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