Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CH093210 Camarena Health

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 #6289
4593 NORTH CEDAR AVENUE
FRESNO, CA 93726

Pharmacy Comments

Contract Details

Approval Date

7/13/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/4/2021
Business decision by covered entity and/or pharmacy

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

7/13/2020

340B Drug Pricing Program Database