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THRIFTY PAYLESS, INC.
CHC12858-06 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
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Covered Entity Details
Entity Name
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
Subdivision Name
Fedde School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12858-06
Entity Address
21409 Elaine Ave
Hawaiian Gardens, CA 90716-1025
Grant Number
H80CS12858
Participating Start Date
4/1/2024
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
10/2/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Raquel R. Villa, Chief Executive Officer
(562) 776-5014
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
10/2/2024
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