340B Drug Pricing Program Database

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FRED MEYER
DSH380061 PROVIDENCE PORTLAND MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH380061
4805 NE GLISAN ST
PORTLAND, OR 97213
380061
7/1/2015
9/4/2024


Pharmacy Details

6615 NE GLISAN ST
PORTLAND, OR 97213

Contract Details

7/15/2020
10/1/2020


Contacts


Eric Olson, Chief Financial Officer
(503) 215-6241



Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
7/15/2020