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THRIFTY PAYLESS, INC.
CH091040 ASIAN PACIFIC HEALTH CARE VENTURE INC
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Covered Entity Details
Entity Name
ASIAN PACIFIC HEALTH CARE VENTURE INC
Subdivision Name
APHCV-Los Feliz Health Center
Type
HRSA-Funded Health Center
340B ID
CH091040
Entity Address
1530 HILLHURST AVENUE
LOS ANGELES, CA 90027-5516
Grant Number
H80CS00787
Participating Start Date
10/1/1997
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5435
1637 NORTH VERMONT AVENUE
LOS ANGELES, CA 90027
Pharmacy Comments
Contract Details
Approval Date
4/2/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KAZUE SHIBATA, CEO
(323) 644-3880 Ext: 254
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
4/2/2024
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