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FRED MEYER STORES INC
CH10792B COUNTY OF LANE
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Covered Entity Details
Entity Name
COUNTY OF LANE
Subdivision Name
Springfield Schools Health Center
Type
HRSA-Funded Health Center
340B ID
CH10792B
Entity Address
1050 10th St
Springfield, OR 97477-4003
Grant Number
H80CS01443
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
FRED MEYER STORES INC
Pharmacy Address
FRED MEYER PHARMACY #325
60 DIVISION AVE
EUGENE, OR 97404
Pharmacy Comments
Contract Details
Approval Date
10/14/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALICIA HAYS, DIRECTOR, HEALTH & HUMAN SERVICES
(541) 682-4035
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
10/14/2013
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