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HEALTHY OPTIONS INC
FQHCLA405 Cascade Aids Project
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Covered Entity Details
Entity Name
Cascade Aids Project
Subdivision Name
Prism Health
Type
Health Center Program Look-Alike
340B ID
FQHCLA405
Entity Address
2236 SE Belmont St
Portland, OR 97214-2817
Grant Number
LALCS33965
Participating Start Date
4/16/2020
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
HEALTHY OPTIONS INC
Pharmacy Address
DBA POSTAL PRESCRIPTION SVCS
3500 SE 26TH AVE
PO BOX 2718
PORTLAND, OR 97202
Pharmacy Comments
Contract Details
Approval Date
10/30/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tyler A. TerMeer, Executive Director
(503) 278-3810
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/30/2020
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