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ACARIAHEALTH PHARMACY #14, INC.
CH10070B WHITE BIRD CLINIC
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Covered Entity Details
Entity Name
WHITE BIRD CLINIC
Subdivision Name
Chrysalis Behavioral Health
Type
HRSA-Funded Health Center
340B ID
CH10070B
Entity Address
350 E 11th Ave
Eugene, OR 97401-3246
Grant Number
H80CS00055
Participating Start Date
4/1/2018
Last Recertification Date
2/27/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
ACARIAHEALTH PHARMACY #14, INC.
Pharmacy Address
4151 E COMMERCE WAY # 1041
SACRAMENTO, CA 95834-9679
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Benjamin I Brubaker, Administrative Coordinator
(541) 342-8255
Contract Pharmacy Representative
Acariahealth Pharmacy, Inc
Rob Jarvis, Vice President, Pharmacy Relations & Business Strategy
(304) 552-4119
Signed By Date
4/15/2019
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