340B Drug Pricing Program Database
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CH10560L MosaicMedical (Terminated)
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Main Details
Name
MosaicMedical
Subdivision Name
CROOK COUNTY JAIL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007094
340B ID
CH10560L
Grant Number
H80CS00270
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/7/2013
Last Recertification Date
2/22/2019
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Mosaic Medical
Albert Noyes, Director of Retail Pharmacy
(541) 447-0707 Ext: 7060
Primary Contact
Mosaic Medical
Robin Vallie, Pharmacy Operations Manager
(541) 383-3005
Addresses
Street Address
400 NE 3rd St
Prineville, OR 97754-1921
Billing Address
Mosaic Medical
600 SW Columbia Street
Suite 6150
Bend, OR 97702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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