340B Drug Pricing Program Database

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5314
1308 NORTH 20TH AVENUE
PASCO, WA 99301

Pharmacy Comments

Approval Date

1/13/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Esleen Fultz, CFO
(509) 547-2204

Contract Pharmacy Representative

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

Signed By Date

1/13/2014