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THRIFTY PAYLESS, INC.
CH0920440 HILL COUNTRY COMMUNITY CLINIC
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Covered Entity Details
Entity Name
HILL COUNTRY COMMUNITY CLINIC
Subdivision Name
HILL COUNTRY COMMUNITY CLINIC
Type
HRSA-Funded Health Center
340B ID
CH0920440
Entity Address
29632 HIGHWAY 299 EAST
ROUND MOUNTAIN, CA 96084
Grant Number
H80CS04226
Participating Start Date
1/1/2002
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6100
3095 MCMURRAY DRIVE
ANDERSON, CA 96007
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie Ann Schwab, CFO
(530) 410-8124
Contract Pharmacy Representative
RiteAid
Mark Thorn, Manager, Pharmacy Replenishment Program
(734) 347-1086
Signed By Date
10/13/2023
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