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THRIFTY PAYLESS, INC.
CH0911800 SHINGLETOWN MEDICAL CENTER
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Covered Entity Details
Entity Name
SHINGLETOWN MEDICAL CENTER
Subdivision Name
SHINGLETOWN MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH0911800
Entity Address
31292 Alpine Meadows Rd
Shingletown, CA 96088-9462
Grant Number
H80CS01440
Participating Start Date
7/1/2004
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6714
9340 DESCHUTES RD
PALO CEDRO, CA 96073
Pharmacy Comments
Contract Details
Approval Date
10/9/2014
Contract Begin Date
10/9/2014
Carve-In Effective Date
Contract Comments
10/09/2014 Immediate Contract Begin Date authorized
Contacts
Covered Entity Signing Official
Tami Fraser, CEO
(530) 474-3390 Ext: 307
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/9/2014
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