Pharmacy Details

LEGACY MT. HOOD MEDICAL CENTER PHARMACY - information as of 6/9/2025 12:24:24 AM

Name
LEGACY MT. HOOD MEDICAL CENTER PHARMACY

Address

24800 SE STARK ST
GRESHAM, OR 97030-3378

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH380007	LEGACY EMANUEL HOSPITAL & HEALTH CENTER		Disproportionate Share Hospital	2801 N GANTENBEIN AVE		PORTLAND	OR	04/01/2022		4/1/2022 12:01 AM
Details	DSH380017	LEGACY GOOD SAMARITAN HOSPITAL		Disproportionate Share Hospital	1015 NW 22ND AVENUE		PORTLAND	OR	04/01/2022		4/1/2022 12:01 AM
Details	DSH380029	SILVERTON HEALTH DBA LEGACY SILVERTON MEDICAL CENTER OR SILVERTON HEALTH		Disproportionate Share Hospital	342 FAIRVIEW STREET		SILVERTON	OR	04/01/2022		4/1/2022 12:01 AM
Details	DSH500150	LEGACY SALMON CREEK HOSPITAL		Disproportionate Share Hospital	2211 NE 139TH ST		VANCOUVER	WA	04/01/2022		4/1/2022 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			LEGACY MT. HOOD MEDICAL CENTER PHARMACY 24800 SE STARK ST GRESHAM, OR 97030-3378	4/5/2021 10:51 AM
Addresses	Pharmacy Address	Insert			LEGACY MT. HOOD MEDICAL CENTER PHARMACY 24800 SE STARK STREET GRESHAM, OR 97030-3378	3/25/2021 4:32 PM
Addresses	Pharmacy Address	Insert			LEGACY MT. HOOD MEDICAL CENTER PHARMACY 24800 SE STARK STREET GRESHAM, OR 97030	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:34 PM
Details	Is Deleted	Insert			False	3/28/2013 4:34 PM
Addresses	Pharmacy Address	Insert			LEGACY MT. HOOD MEDICAL CENTER PHARMACY 24800 SE STARK STREET GRESHAM, OR 97030	3/28/2013 4:34 PM
Details	Name	Insert			LEGACY MT. HOOD MEDICAL CENTER PHARMACY	3/28/2013 4:34 PM