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THRIFTY PAYLESS, INC.
CH10208F ONE COMMUNITY HEALTH
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Covered Entity Details
Entity Name
ONE COMMUNITY HEALTH
Subdivision Name
One Community Health -- The Dalles Express Clinic
Type
HRSA-Funded Health Center
340B ID
CH10208F
Entity Address
1010 Webber St
The Dalles, OR 97058-3749
Grant Number
H80CS00426
Participating Start Date
4/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5328
2049 WEST CASCADE AVENUE
HOOD RIVER, OR 97031
Pharmacy Comments
Contract Details
Approval Date
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Renerose Hinkle, Chief Financial Officer
(541) 256-4404
Contract Pharmacy Representative
One Community Health
Lisa Sandoval, Director of Pharmacy
(541) 256-4404
Signed By Date
7/11/2024
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