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THRIFTY PAYLESS, INC.
CAH501330-00 ASTRIA SUNNYSIDE HOSPITAL
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Covered Entity Details
Entity Name
ASTRIA SUNNYSIDE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501330-00
Entity Address
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Medicare Provider Number
501330
Participating Start Date
1/1/2020
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5300
2010 YAKIMA VALLEY HWY STE C1
SUNNYSIDE, WA 98944
Pharmacy Comments
Contract Details
Approval Date
3/15/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Cary Rowan, CFO
(509) 837-1655
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
3/15/2013
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