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THRIFTY PAYLESS, INC.
CH09321A Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
DMC Family Care Health Center
Type
HRSA-Funded Health Center
340B ID
CH09321A
Entity Address
344 E 6th St
Madera, CA 93638-3631
Grant Number
H80CS00143
Participating Start Date
1/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5856
335 WEST OLIVE AVENUE
MADERA, CA 93637
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
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
7/13/2021
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