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THRIFTY PAYLESS, INC.
FQHC638017 SANTA YNEZ TRIBAL HEALTH CLINIC
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Covered Entity Details
Entity Name
SANTA YNEZ TRIBAL HEALTH CLINIC
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638017
Entity Address
90 VIA JUANA LANE
SANTA YNEZ, CA 93460
Grant Number
Participating Start Date
1/1/1995
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6185
616 ALAMO PINTADO ROAD
SOLVANG, CA 93463
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ron Sisson, EXECUTIVE DIRECTOR
(805) 694-2650 Ext: 16
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
7/15/2016
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