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THRIFTY PAYLESS, INC.
CH09312BS FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Diamond Neighborhoods Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09312BS
Entity Address
4725 MARKET ST
SAN DIEGO, CA 92102-4715
Grant Number
H80CS00224
Participating Start Date
7/1/2008
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5644
535 ROBINSON AVENUE
SAN DIEGO, CA 92103
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ricardo Roman, CFO
(619) 906-4603
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/14/2019
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