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THRIFTY PAYLESS, INC.
CH09071AU COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Subdivision Name
CHC - TEMPLETON WOMEN'S HEALTH
Type
HRSA-Funded Health Center
340B ID
CH09071AU
Entity Address
292 Posada Ln Ste A
Templeton, CA 93465
Grant Number
H80CS00621
Participating Start Date
7/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5822
956 E FOOTHILL BLVD
SAN LUIS OBISPO, CA 93405
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RONALD E. CASTLE, CEO
(805) 459-1835
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
7/15/2024
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