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THRIFTY PAYLESS, INC.
CH09025K CLINICAS DE SALUD DEL PUEBLO INC
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Covered Entity Details
Entity Name
CLINICAS DE SALUD DEL PUEBLO INC
Subdivision Name
Innercare Mecca Dental
Type
HRSA-Funded Health Center
340B ID
CH09025K
Entity Address
91275 66TH AVE
STE 300
MECCA, CA 92254-6610
Grant Number
H80CS00733
Participating Start Date
7/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6515
211 WEST BIRCH STREET
CALEXICO, CA 92231
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
YVONNE BELL, CEO
(760) 344-9951 Ext: 10102
Contract Pharmacy Representative
Rite Aid
Ruth Lightner, Director
(717) 731-6524
Signed By Date
1/15/2024
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