Contract Pharmacy Details

THRIFT DRUG, INC.
SCH390056-00 PENN HIGHLANDS HUNTINGDON

Covered Entity Details

Entity Name

PENN HIGHLANDS HUNTINGDON

Subdivision Name

Type

Sole Community Hospital

340B ID

SCH390056-00

Entity Address

1225 WARM SPRINGS AVENUE
HUNTINGDON, PA 16652-2350

Medicare Provider Number

390056

Participating Start Date

7/21/2021

Last Recertification Date

8/15/2023

Entity Termination Date

1/1/2024

Pharmacy Details

Pharmacy Name

THRIFT DRUG, INC.

Pharmacy Address

RITE AID #11012
3331 PLEASANT VALLEY BLVD.
ALTOONA, PA 16602

Pharmacy Comments

Contract Details

Approval Date

7/11/2013

Contract Begin Date

10/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/24/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Edward M. Quinn, CHIEF FINANCIAL OFFICER
(814) 643-8445

Contract Pharmacy Representative

Rite Aid
Chris Hall, Senior Vice President
(717) 214-8834

Signed By Date

7/11/2013

340B Drug Pricing Program Database