340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DIPLOMAT SPECIALTY PHARMACY
CH103100 UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
Print
Covered Entity Details
Entity Name
UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
Subdivision Name
Umpqua Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH103100
Entity Address
150 NE Kenneth Ford Drive
Roseburg, OR 97470
Grant Number
H80CS00567
Participating Start Date
10/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
DIPLOMAT SPECIALTY PHARMACY
Pharmacy Address
1370 BUSCH PKWY
BUFFALO GROVE, IL 60089-4505
Pharmacy Comments
Contract Details
Approval Date
7/2/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Mullins, CEO
(541) 672-9596 Ext: 100
Contract Pharmacy Representative
Phil Hagerman, Chief Executive Officer
(810) 768-9453
Signed By Date
7/2/2013
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