340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THRIFTY PAYLESS, INC.
CH092143L LOS ANGELES CHRISTIAN HEALTH CENTERS
Print
Covered Entity Details
Entity Name
LOS ANGELES CHRISTIAN HEALTH CENTERS
Subdivision Name
Los Angeles Christian Health Centers at Pico Aliso
Type
HRSA-Funded Health Center
340B ID
CH092143L
Entity Address
1625 E 4th St
Los Angeles, CA 90033-4201
Grant Number
H80CS06674
Participating Start Date
1/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #5429
500 SOUTH BROADWAY
LOS ANGELES, CA 90013
Pharmacy Comments
Contract Details
Approval Date
10/10/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/19/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lisa Abdishoo, President & CEO
(213) 893-1960
Contract Pharmacy Representative
Los Angeles Christian Health Centers
Kelly Chen, Pharmacy Director
(323) 268-8391
Signed By Date
10/10/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session