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RICK'S HI-SCHOOL PHARMACY INC
CH106280 YAKIMA VALLEY FARM WORKERS CLINIC
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Covered Entity Details
Entity Name
YAKIMA VALLEY FARM WORKERS CLINIC
Subdivision Name
COASTAL FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH106280
Entity Address
2158 Exchange St STE 304
Astoria, OR 97103-3419
Grant Number
H80CS00639
Participating Start Date
4/1/2003
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
RICK'S HI-SCHOOL PHARMACY INC
Pharmacy Address
401 W COLUMBIA RIVER HWY
CLATSKANIE, OR 97016
Pharmacy Comments
Contract Details
Approval Date
10/14/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/9/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
WENDY GILMORE, CFO
(503) 325-8315 Ext: 219
Contract Pharmacy Representative
Hi School Pharmacy Services LLC
Jack Holt, Pharmacy Director/Owner
(360) 693-5879
Signed By Date
10/14/2015
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