340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA DRUGS OREGON LLC
CH10163H VALLEY FAMILY HEALTH CARE INC
Print
Covered Entity Details
Entity Name
VALLEY FAMILY HEALTH CARE INC
Subdivision Name
Valley Family Health Care - New Plymouth Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH10163H
Entity Address
300 NORTH PLYMOUTH ROAD
NEW PLYMOUTH, ID 83655-5578
Grant Number
H80CS00556
Participating Start Date
9/9/2005
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
AVITA DRUGS OREGON LLC
Pharmacy Address
DBA: AVITA PHARMACY 1027
2236 SE BELMONT ST STE A
PORTLAND, OR 97214-2817
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Timothy Heinze, CEO
(208) 642-7364
Contract Pharmacy Representative
Long's Drugs
Ashley Ellis, Corporate Counsel
(803) 254-5884 Ext: 42309
Signed By Date
4/15/2020
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