340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FRED MEYER 663
CH101310 CLACKAMAS, COUNTY OF
Print
Covered Entity Details
Entity Name
CLACKAMAS, COUNTY OF
Subdivision Name
Clackamas Health Centers Administration
Type
HRSA-Funded Health Center
340B ID
CH101310
Entity Address
2051 Kaen Road STE 367
Oregon City, OR 97045-4035
Grant Number
H80CS00547
Participating Start Date
4/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
FRED MEYER 663
Pharmacy Address
16625 362ND AVENUE
SANDY, OR 97055
Pharmacy Comments
Contract Details
Approval Date
7/14/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Swift, Interim FQHC DIRECTOR
(503) 650-5694
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
7/14/2014
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