Contract Pharmacy Details

THRIFTY PAYLESS INC.
CH093540 NEIGHBORHOOD HEALTHCARE

Covered Entity Details

Entity Name

NEIGHBORHOOD HEALTHCARE

Subdivision Name

RAY M. DICKINSON WELLNESS CENTER

Type

HRSA-Funded Health Center

340B ID

CH093540

Entity Address

425 N. DATE ST
ESCONDIDO, CA 92025-3413

Grant Number

H80CS00285

Participating Start Date

4/1/1996

Last Recertification Date

3/6/2025

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS INC.

Pharmacy Address

RITE AID #5727
40640 CALIFORNIA OAKS ROAD
MURRIETA, CA 92562

Pharmacy Comments

Contract Details

Approval Date

7/5/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/13/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

TRACY REAM, CEO
(760) 520-8375

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

7/5/2016

340B Drug Pricing Program Database