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OREGON HEALTH & SCIENCE UNIVERSITY
DSH380021 TUALITY HEALTHCARE
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Covered Entity Details
Entity Name
TUALITY HEALTHCARE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH380021
Entity Address
335 SE 8TH AVE
HILLSBORO, OR 97123
Medicare Provider Number
380021
Participating Start Date
7/1/2010
Last Recertification Date
9/2/2024
Pharmacy Details
Pharmacy Name
OREGON HEALTH & SCIENCE UNIVERSITY
Pharmacy Address
OHSU PHARMACY AT TUALITY
333 SE 7TH AVE STE 1500
HILLSBORO, OR 97123
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eugene Louis Bacon, Director of Finance
(503) 681-1583
Contract Pharmacy Representative
OHSU
Jennifer Zanon, Director Pharmacy Services; Regulatory Compliance
(503) 418-1286
Signed By Date
7/17/2018
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