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THRIFTY PAYLESS, INC.
CHC28366-01 HARBOR COMMUNITY CLINIC
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Covered Entity Details
Entity Name
HARBOR COMMUNITY CLINIC
Subdivision Name
Beacon Street Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28366-01
Entity Address
731 S. Beacon Street
San Pedro, CA 90731
Grant Number
H80CS28366
Participating Start Date
1/1/2016
Last Recertification Date
2/7/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5513
501 SOUTH GAFFEY STREET
SAN PEDRO, CA 90731
Pharmacy Comments
Contract Details
Approval Date
11/2/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tamra King, Executive Director
(310) 547-0202 Ext: 106
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President Managed Care
(717) 214-8538
Signed By Date
11/2/2015
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