Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CHC10608-00 CENTRAL CITY COMMUNITY HEALTH CENTER, INC. - Anaheim 1

Entity Name

CENTRAL CITY COMMUNITY HEALTH CENTER, INC. - Anaheim 1

Subdivision Name

Central City Community Health Center

Type

HRSA-Funded Health Center

340B ID

CHC10608-00

Entity Address

2237 W. Ball Road
Anaheim, CA 92804-5314

Grant Number

H80CS10608

Participating Start Date

10/1/2006

Last Recertification Date

2/7/2024

Entity Termination Date

4/1/2024

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5423
1534 EAST FLORENCE AVENUE
LOS ANGELES, CA 90001

Pharmacy Comments

Approval Date

7/15/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date

4/1/2024

Termination Reason

Covered Entity Terminated

Covered Entity Signing Official

Gerardo Ramirez, Controller
(323) 694-2715

Signed By Date

7/15/2020

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968