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BLW INC
CH105600 Mosaic Community Health
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Covered Entity Details
Entity Name
Mosaic Community Health
Subdivision Name
Madras Health Center
Type
HRSA-Funded Health Center
340B ID
CH105600
Entity Address
500 NE A St Ste 100
Madras, OR 97741
Grant Number
H80CS00270
Participating Start Date
10/1/2003
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
BLW INC
Pharmacy Address
HOMETOWN DRUGS
65 NE OAK ST STE 100
MADRAS, OR 97741-1814
Pharmacy Comments
Contract Details
Approval Date
4/9/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/14/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Megan Haase, CEO
(541) 383-3005 Ext: 7347
Contract Pharmacy Representative
MICHAEL MENDAZONA, RPh President
(541) 325-1059
Signed By Date
4/9/2013
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