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K & K RX SERVICES, LP
CAH381317-00 NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK D/B/A TILLAMOOK REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK D/B/A TILLAMOOK REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381317-00
Entity Address
1000 3RD STREET
TILLAMOOK, OR 97141
Medicare Provider Number
381317
Participating Start Date
9/30/2010
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
K & K RX SERVICES, LP
Pharmacy Address
BIOMATRIX SPECIALTY PHARMACY PA
3070 MCCANN FARM DR STE 101
GARNET VALLEY, PA 19060
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
KATHY SAXON, CNO
(503) 815-2260
Contract Pharmacy Representative
Med Center Specialty Pharmacy
Nicholas Karalis, President
(610) 545-6040 Ext: 206
Signed By Date
4/15/2020
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