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THRIFTY PAYLESS, INC.
FQHCLA270 CASTLE FAMILY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
CASTLE FAMILY HEALTH CENTERS, INC.
Subdivision Name
CASTLE FAMILY HEALTH CENTERS AT CASTLE
Type
Health Center Program Look-Alike
340B ID
FQHCLA270
Entity Address
3605 HOSPITAL ROAD
ATWATER, CA 95301-5173
Grant Number
LALCS00012
Participating Start Date
10/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6001
571 BELLEVUE ROAD
ATWATER, CA 95301
Pharmacy Comments
Contract Details
Approval Date
1/14/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Able, CFO
(209) 724-4103
Contract Pharmacy Representative
Rite Aid
Ruth Lightner, Director
(717) 731-6524
Signed By Date
1/3/2013
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