340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAREMARK, L.L.C.
DSH380056 SANTIAM MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
SANTIAM MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH380056
Entity Address
1401 NORTH 10TH AVE
STAYTON, OR 97383
Medicare Provider Number
380056
Participating Start Date
7/1/2021
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/12/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Maggie Ann Hudson, CEO
(503) 769-9236
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/14/2021
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