340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THRIFTY PAYLESS, INC.
FQHCLA106 SIERRA FAMILY MEDICAL CLINIC, INC.
Print
Covered Entity Details
Entity Name
SIERRA FAMILY MEDICAL CLINIC, INC.
Subdivision Name
Type
Health Center Program Look-Alike
340B ID
FQHCLA106
Entity Address
15301 TYLER FOOTE ROAD
NEVADA CITY, CA 95959
Grant Number
LALCS00058
Participating Start Date
4/1/2002
Last Recertification Date
2/2/2015
Entity Termination Date
4/1/2016
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6089
720 SUTTON WAY
GRASS VALLEY, CA 95945
Pharmacy Comments
Contract Details
Approval Date
9/5/2012
Contract Begin Date
9/5/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Richard Mantle, CFO
(530) 292-3478
Contract Pharmacy Representative
Rite Aid
Ruth Lightner, Director
(717) 731-6524
Signed By Date
8/22/2012
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session