340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FRED MEYER
DSH380102 SHMC-RIVERBEND
Print
Covered Entity Details
Entity Name
SHMC-RIVERBEND
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH380102
Entity Address
3333 RIVERBEND DRIVE
SPRINGFIELD, OR 97477
Medicare Provider Number
380102
Participating Start Date
1/1/2017
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
FRED MEYER
Pharmacy Address
SPRINGFIELD STORE
650 Q STREET
SPRINGFIELD, OR 97477
Pharmacy Comments
Contract Details
Approval Date
4/3/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul J Warda, CFO
(541) 222-2034
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
4/3/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session