340B Drug Pricing Program Database
THRIFTY PAYLESS, INC.
FQHCLA397 Health Service Alliance - information as of 5/6/2025 11:44:44 PM
Covered Entity Details
Entity Name
Health Service Alliance
Subdivision Name
Chino Valley Community Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA397
Entity Address
13193 Central Ave STE 100
Chino, CA 91710
Grant Number
LALCS33333
Participating Start Date
10/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6492
15890 SOQUEL CANYON PARKWAY
CHINO HILLS, CA 91709
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeff Cox, Chief Executive Officer
(909) 784-6117
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
4/15/2025
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