340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THRIFTY PAYLESS, INC.
CH092536AE JWCH Institute, Inc.
Print
Covered Entity Details
Entity Name
JWCH Institute, Inc.
Subdivision Name
JWCH Institute, Inc., Mini House Residential Treatment
Type
HRSA-Funded Health Center
340B ID
CH092536AE
Entity Address
303 E 52nd St
Los Angeles, CA 90011-4513
Grant Number
H80CS06673
Participating Start Date
7/1/2018
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5429
500 SOUTH BROADWAY
LOS ANGELES, CA 90013
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Contract Pharmacy Representative
Rite Aid
Jennifer Zorek, contact
(717) 975-5937
Signed By Date
7/14/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session