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THRIFTY PAYLESS, INC.
CH093210 Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
DMC WOMEN'S CARE HEALTH CTR
Type
HRSA-Funded Health Center
340B ID
CH093210
Entity Address
201 S B St
Madera, CA 93638-3719
Grant Number
H80CS00143
Participating Start Date
4/1/2001
Last Recertification Date
1/31/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5856
335 WEST OLIVE AVENUE
MADERA, CA 93637
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paulo A. Soares, CEO
(559) 664-4089
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
10/9/2019
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