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THRIFTY PAYLESS, INC.
CH09364AN Family Healthcare Network
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Covered Entity Details
Entity Name
Family Healthcare Network
Subdivision Name
Family HealthCare Network - Selma
Type
HRSA-Funded Health Center
340B ID
CH09364AN
Entity Address
1850 Whitson St.
Selma, CA 93662-3609
Grant Number
H80CS00786
Participating Start Date
10/1/2019
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
DBA RITE AID #6723
160 E ANTELOPE AVE
WOODLAKE, CA 93286
Pharmacy Comments
Contract Details
Approval Date
7/13/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kerry Hydash, President and CEO
(559) 737-4700
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President Managed Care
(717) 975-5978
Signed By Date
7/13/2024
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