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THRIFTY PAYLESS, INC.
CH10123J VIRGINIA GARCIA MEMORIAL HEALTH CENTER
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Covered Entity Details
Entity Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
Forest Grove School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH10123J
Entity Address
1715 Nichols Ln
Forest Grove, OR 97116-3216
Grant Number
H80CS00817
Participating Start Date
7/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5340
448 NE HIGHWAY 99W
MCMINNVILLE, OR 97128
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
Annmarie Rainford Dennis, Corporate Compliance Officer
(503) 214-1652
Contract Pharmacy Representative
Rite Aid
Lisa Foster, Manager-Pharmacy
(717) 214-2518
Signed By Date
10/13/2023
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