Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CH102970 Rogue Community Health

Covered Entity Details

Entity Name

Rogue Community Health

Subdivision Name

Medford Health Center

Type

HRSA-Funded Health Center

340B ID

CH102970

Entity Address

19 Myrtle St
Medford, OR 97504-7337

Grant Number

H80CS04204

Participating Start Date

9/9/2005

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5385
2341 ASHLAND STREET
ASHLAND, OR 97520

Pharmacy Comments

Contract Details

Approval Date

10/14/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

WIlliam North, CEO
(541) 223-3172

Contract Pharmacy Representative

RiteAid
Mark Thorn, Manager, Pharmacy Replenishment Program
(734) 347-1086

Signed By Date

10/14/2017

340B Drug Pricing Program Database