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THRIFTY PAYLESS INC.
URB10414 SACRAMENTO NATIVE AMERICAN HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SACRAMENTO NATIVE AMERICAN HEALTH CENTER, INC.
Subdivision Name
Type
Urban Indian
340B ID
URB10414
Entity Address
2020 J STREET
SACRAMENTO, CA 95811
Grant Number
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS INC.
Pharmacy Address
RITE AID #6077
4020 FLORIN ROAD
SACRAMENTO, CA 95823
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
BRITTA GUERRERO, CEO
(916) 341-0576 Ext: 2205
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
7/13/2017
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