340B Drug Pricing Program Database

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WAL-MART PHARMACY 10-5440
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

10000 SOUTHEAST 82ND AVENUE
HAPPY VALLEY, OR 97086

Contract Details

7/15/2020
10/1/2020


Contacts


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



Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
7/15/2020