Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CH0920440 HILL COUNTRY COMMUNITY CLINIC

Covered Entity Details

Entity Name

HILL COUNTRY COMMUNITY CLINIC

Subdivision Name

HILL COUNTRY COMMUNITY CLINIC

Type

HRSA-Funded Health Center

340B ID

CH0920440

Entity Address

29632 HIGHWAY 299 EAST
ROUND MOUNTAIN, CA 96084

Grant Number

H80CS04226

Participating Start Date

1/1/2002

Last Recertification Date

2/23/2025

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #6101
37435 MAIN STREET
BURNEY, CA 96013

Pharmacy Comments

Contract Details

Approval Date

9/5/2012

Contract Begin Date

9/5/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

LYNN DORROH, CEO
(530) 337-6935

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

8/22/2012

340B Drug Pricing Program Database