340B Drug Pricing Program Database

Pharmacy Name

CREDENA HEALTH PHARMACY ST VINCENT

Pharmacy Address

9155 SW BARNES RD STE 102
PORTLAND, OR 97225-6625

Pharmacy Comments

Approval Date

4/12/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Nancy S. Roberts, Chief Operating Officer
(503) 216-4609

Contract Pharmacy Representative

Providence. Health & Services
John Evans, Director, Retail Ops
(503) 215-6296

Signed By Date

4/12/2019