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THRIFTY PAYLESS, INC.
CH097180 PEACH TREE CLINIC, THE, INC.
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Covered Entity Details
Entity Name
PEACH TREE CLINIC, THE, INC.
Subdivision Name
Peach Tree Clinic, Inc
Type
HRSA-Funded Health Center
340B ID
CH097180
Entity Address
5730 Packard Ave., STE 500
Marysville, CA 95901-7119
Grant Number
H80CS06629
Participating Start Date
1/1/2008
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6228
4221 NORWOOD AVENUE
SACRAMENTO, CA 95838
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
Greg Stone, CEO
(530) 741-6245 Ext: 1363
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
7/3/2024
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