Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CH101030 YAKIMA VALLEY FARM WORKERS CLINIC

Covered Entity Details

Entity Name

YAKIMA VALLEY FARM WORKERS CLINIC

Subdivision Name

YVFWC - TOPPENISH

Type

HRSA-Funded Health Center

340B ID

CH101030

Entity Address

510 W 1st Ave
Toppenish, WA 98948-1564

Grant Number

H80CS00639

Participating Start Date

12/1/1992

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5296
2204-B W. NOB HILL BLVD.
YAKIMA, WA 98902

Pharmacy Comments

Contract Details

Approval Date

4/2/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/27/2025
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

JUAN CARLOS OLIVARES, CEO
(509) 865-5898 Ext: 2101

Contract Pharmacy Representative

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

Signed By Date

4/2/2021

340B Drug Pricing Program Database