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THRIFTY PAYLESS, INC.
FQHC638012 NORTHERN VALLEY INDIAN HEALTH
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Covered Entity Details
Entity Name
NORTHERN VALLEY INDIAN HEALTH
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638012
Entity Address
207 N BUTTE STREET
WILLOWS, CA 95988
Grant Number
Participating Start Date
1/1/1995
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6066
295 WEST MAIN STREET
WOODLAND, CA 95695
Pharmacy Comments
Contract Details
Approval Date
4/4/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
INDER WADHWA, CHIEF EXECUTIVE OFFICER
(530) 896-9409
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
4/4/2013
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