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THRIFTY PAYLESS, INC.
CH10100C Moses Lake Community Health Center
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Covered Entity Details
Entity Name
Moses Lake Community Health Center
Subdivision Name
Quincy Student Health & Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH10100C
Entity Address
403 Jackrabbit St NE
Quincy, WA 98848
Grant Number
H80CS00702
Participating Start Date
1/1/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5293
500 SOUTH PIONEER WAY
MOSES LAKE, WA 98837
Pharmacy Comments
Contract Details
Approval Date
1/14/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sheila Berschauer, CEO
(509) 765-0674 Ext: 2411
Contract Pharmacy Representative
Moses Lake Community Health Center
Bothaina Mousa, Director of Pharmacy
(509) 765-0675 Ext: 3232
Signed By Date
1/14/2024
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