Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CHC28985-02 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION

Covered Entity Details

Entity Name

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION

Subdivision Name

Central Neighborhood Health Foundation-Inglewood

Type

HRSA-Funded Health Center

340B ID

CHC28985-02

Entity Address

2710 W MANCHESTER BLVD
INGLEWOOD, CA 90305-2436

Grant Number

H80CS28985

Participating Start Date

1/1/2017

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5430
446 EAST WASHINGTON BLVD.
LOS ANGELES, CA 90015

Pharmacy Comments

Contract Details

Approval Date

7/11/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/3/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Bassett Brown, Chief Executive Officer
(626) 252-5646

Contract Pharmacy Representative

Rite Aid
Lisa Foster, Manager-Pharmacy
(717) 214-2518

Signed By Date

7/11/2019

340B Drug Pricing Program Database