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THRIFTY PAYLESS, INC.
CH09534G Altura Centers for Health
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Covered Entity Details
Entity Name
Altura Centers for Health
Subdivision Name
Altura Centers for Health Woodville
Type
HRSA-Funded Health Center
340B ID
CH09534G
Entity Address
16686 ROAD 168
WOODVILLE, CA 93257
Grant Number
H80CS00338
Participating Start Date
10/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6454
1645 E TULARE AVENUE
TULARE, CA 93274
Pharmacy Comments
Contract Details
Approval Date
7/1/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/27/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
GRACIELA Soto Perez, CEO
(559) 685-4601
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
7/1/2024
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