340B Drug Pricing Program Database

Pharmacy Name

THRIFTY WHITE PHARMACY #065

Pharmacy Address

737 W 12TH ST
GRAFTON, ND 58237-2117

Pharmacy Comments

Approval Date

4/17/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Alan ONeil, Chief Executive Officer
(701) 352-1620 Ext: 200

Contract Pharmacy Representative

Thrifty White
Zach Winter, Corporate Manager
(763) 248-7554

Signed By Date

4/17/2017