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THRIFTY PAYLESS, INC.
CH093190 TIBURCIO VASQUEZ HEALTH CENTER INCORPORATED
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Covered Entity Details
Entity Name
TIBURCIO VASQUEZ HEALTH CENTER INCORPORATED
Subdivision Name
TIBURCIO VASQUEZ HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH093190
Entity Address
33255 9th St
Union City, CA 94587-2137
Grant Number
H80CS00223
Participating Start Date
12/1/1992
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5922
3848 CASTRO VALLEY BOULEVARD
CASTRO VALLEY, CA 94546
Pharmacy Comments
Contract Details
Approval Date
1/17/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
David B. Vliet, CEO
(510) 690-6050
Contract Pharmacy Representative
CaptureRX
Joe Mast, Rite Aid Key Account Manager
(717) 214-8538
Signed By Date
1/17/2020
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