Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CH092143T LOS ANGELES CHRISTIAN HEALTH CENTERS

Covered Entity Details

Entity Name

LOS ANGELES CHRISTIAN HEALTH CENTERS

Subdivision Name

Los Angeles Christian Health Centers at New Genesis

Type

HRSA-Funded Health Center

340B ID

CH092143T

Entity Address

456 S. Main Street
(Exam Rm 1 & 2, vitals room, waiting room)
Los Angeles, CA 90013

Grant Number

H80CS06674

Participating Start Date

1/1/2014

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

340B Drug Pricing Program Database