340B Drug Pricing Program Database

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #6104
807 SOUTH MAIN STREET
YREKA, CA 96097

Pharmacy Comments

Approval Date

5/9/2013

Contract Begin Date

7/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kelly Martin, CFO
(530) 841-6235

Contract Pharmacy Representative

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

Signed By Date

4/2/2013