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THRIFTY PAYLESS, INC.
CH09311BR ALTAMED HEALTH SERVICES CORP
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Covered Entity Details
Entity Name
ALTAMED HEALTH SERVICES CORP
Subdivision Name
AltaMed Dental Group - Westlake, 3rd Street
Type
HRSA-Funded Health Center
340B ID
CH09311BR
Entity Address
2100 W. 3rd Street STE 301
Los Angeles, CA 90057-2285
Grant Number
H80CS00142
Participating Start Date
7/1/2023
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6495
9333 WHITTIER BLVD
PICO RIVERA, CA 90660
Pharmacy Comments
Contract Details
Approval Date
7/3/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Contract Pharmacy Representative
WellPartner
Kristen Danahy, Advisor/Manager, Account Management
(480) 364-2573
Signed By Date
7/3/2024
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