Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CHC26614-00 APLA HEALTH & WELLNESS

Covered Entity Details

Entity Name

APLA HEALTH & WELLNESS

Subdivision Name

APLA Health & Wellness Center

Type

HRSA-Funded Health Center

340B ID

CHC26614-00

Entity Address

3743 S. La Brea Ave.
Los Angeles, CA 90016-5309

Grant Number

H80CS26614

Participating Start Date

7/1/2014

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5452
7900 WEST SUNSET BOULEVARD
LOS ANGELES, CA 90046

Pharmacy Comments

Contract Details

Approval Date

10/13/2022

Contract Begin Date

10/17/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Craig E. Thompson, Chief Executive Officer
(213) 201-1456

Contract Pharmacy Representative

Rite Aid Pharmacy
Christopher Moen, VP, Strategic Pharmacy Relations
(717) 791-3129

Signed By Date

10/13/2022

340B Drug Pricing Program Database