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THRIFTY PAYLESS, INC.
CHC24201-00 URBAN COMMUNITY ACTION PROJECTS
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Covered Entity Details
Entity Name
URBAN COMMUNITY ACTION PROJECTS
Subdivision Name
City of Riverside Emergency Shelter
Type
HRSA-Funded Health Center
340B ID
CHC24201-00
Entity Address
2880 Hulen
Riverside, CA 92507-2606
Grant Number
H80CS24201
Participating Start Date
7/1/2018
Last Recertification Date
1/30/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6532
47985 MONROE STREET BLDG A
INDIO, CA 92201
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Beth Wagner, COO
(951) 595-4165
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/12/2019
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