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THRIFTY PAYLESS, INC.
CAH051318-00 St Joseph Health Northern California LLC- DBA Redwood Memorial Hospital
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Covered Entity Details
Entity Name
St Joseph Health Northern California LLC- DBA Redwood Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051318-00
Entity Address
3300 Renner Drive
Fortuna, CA 95540
Medicare Provider Number
051318
Participating Start Date
4/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6041
725 SOUTH FORTUNA BOULEVARD
FORTUNA, CA 95540
Pharmacy Comments
Contract Details
Approval Date
2/20/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joe Rogers, Chief Operating Officer
(707) 725-3361 Ext: 4351
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
1/7/2013
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