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THRIFTY PAYLESS, INC.
CH093660 COMMUNITY HEALTH SYSTEMS, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC
Subdivision Name
Bloomington Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH093660
Entity Address
18601 VALLEY BLVD
BLOOMINGTON, CA 92316-1831
Grant Number
H80CS00222
Participating Start Date
7/1/2000
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5708
9940 SIERRA AVENUE
FONTANA, CA 92335
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/8/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Lori N. Holeman, Chief Executive Officer
(951) 571-2300
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
7/15/2021
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