340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

KROGER SPECIALTY INFUSION CA
CAH381303-00 PROVIDENCE HEALTH DBA PROVIDENCE SEASIDE HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH381303-00
725 S. WAHANNA RD.
SEASIDE, OR 97138-7735
381303
7/1/2011
8/22/2024


Pharmacy Details

19110 VAN NESS AVE.
TORRANCE, CA 90501

Contract Details

7/11/2019
10/1/2019


Contacts


Pamela Jill Cooper, Director of Finance
(503) 717-2241



Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
7/11/2019