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THRIFTY PAYLESS, INC.
CHC26625-00 SANTA BARBARA NEIGHBORHOOD CLINICS
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Covered Entity Details
Entity Name
SANTA BARBARA NEIGHBORHOOD CLINICS
Subdivision Name
Goleta Neighborhood Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26625-00
Entity Address
5580 Calle Real
Goleta, CA 93111-1646
Grant Number
H80CS26625
Participating Start Date
10/1/2014
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5788
35 SOUTH MILPAS STREET
SANTA BARBARA, CA 93103
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mahdi Ashrafian, Chief Executive Officer
(805) 324-8319
Contract Pharmacy Representative
Rite Aid Pharmacy
Christopher Moen, VP, Strategic Pharmacy Relations
(717) 791-3129
Signed By Date
10/17/2022
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