340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

FRED MEYER #040
DSH380004 PROVIDENCE ST. VINCENT MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH380004
9205 SW BARNES RD
PORTLAND, OR 97225
380004
1/1/2016
8/28/2024


Pharmacy Details

7555 SW BARBUR BLVD
PORTLAND, OR 97219

Contract Details

7/12/2019
10/1/2019


Contacts


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



Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
7/12/2019