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THRIFTY PAYLESS, INC.
CAH051334-00 OJAI VALLEY COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
OJAI VALLEY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051334-00
Entity Address
1306 MARICOPA HIGHWAY
OJAI, CA 93023
Medicare Provider Number
051334
Participating Start Date
1/1/2017
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5779
11496 NORTH VENTURA AVE.
OJAI (MIRA MONTE), CA 93023
Pharmacy Comments
Contract Details
Approval Date
1/3/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James A Corwin, Chief Financial Officer
(805) 948-5003
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
1/3/2025
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