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GORDON'S PHARMACY AND GIFTS, LLC
CH103100 UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
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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
GORDON'S PHARMACY AND GIFTS, LLC
Pharmacy Address
314 S MAIN ST
CANYONVILLE, OR 97417-9645
Pharmacy Comments
Contract Details
Approval Date
10/4/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Linda Mullins, CEO
(541) 672-9596 Ext: 100
Contract Pharmacy Representative
Gordons Pharmacy
David Stevens, Owner
(541) 839-4452
Signed By Date
10/4/2013
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