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OREGON CVS PHARMACY, L.L.C.
STD97214 Cascade AIDS Project
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Covered Entity Details
Entity Name
Cascade AIDS Project
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD97214
Entity Address
2236 SE Belmont Street
Portland, OR 97214
Grant Number
NU62PS924543
Participating Start Date
7/1/2017
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
OREGON CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 16127
9000 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
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
Tyler A. TerMeer, Executive Director
(503) 278-3810
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/17/2018
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