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THRIFTY PAYLESS, INC.
CAH501336-00 MASON GENERAL HOSPITAL
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Covered Entity Details
Entity Name
MASON GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501336-00
Entity Address
901 Mountain View Drive
SHELTON, WA 98584
Medicare Provider Number
501336
Participating Start Date
4/1/2016
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6544
23940 NE STATE ROUTE 3
BELFAIR, WA 98528
Pharmacy Comments
Contract Details
Approval Date
1/3/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/16/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rick Donald Smith, Chief Financial Officer
(360) 432-3260
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
1/3/2017
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