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THRIFTY PAYLESS, INC.
CH09311BL AltaMed Health Services Corporation
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Covered Entity Details
Entity Name
AltaMed Health Services Corporation
Subdivision Name
AltaMed Medical Group: Florence-Firestone
Type
HRSA-Funded Health Center
340B ID
CH09311BL
Entity Address
1542 E Florence Ave
Los Angeles, CA 90001-2536
Grant Number
H80CS00142
Participating Start Date
10/1/2021
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5459
6959 EASTERN AVENUE
BELL GARDENS, CA 90201
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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