Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CHC26623-07 OPERATION SAMAHAN, INC.

Covered Entity Details

Entity Name

OPERATION SAMAHAN, INC.

Subdivision Name

OPSAM HEALTH: Rancho Penasquitos

Type

HRSA-Funded Health Center

340B ID

CHC26623-07

Entity Address

9995 Carmel Mountain Road
Suite B10 & B11
San Diego, CA 92129-2132

Grant Number

H80CS26623

Participating Start Date

10/1/2017

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #6256
25710 BARTON ROAD
LOMA LINDA, CA 92354

Pharmacy Comments

Contract Details

Approval Date

10/14/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

archie p bella, executive director
(844) 200-2426 Ext: 1063

Contract Pharmacy Representative

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

Signed By Date

10/14/2022

340B Drug Pricing Program Database