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FRED MEYER INC
CH102970 Rogue Community Health
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Covered Entity Details
Entity Name
Rogue Community Health
Subdivision Name
Medford Health Center
Type
HRSA-Funded Health Center
340B ID
CH102970
Entity Address
19 Myrtle St
Medford, OR 97504-7337
Grant Number
H80CS04204
Participating Start Date
9/9/2005
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
FRED MEYER INC
Pharmacy Address
PHARMACY DEPT #195
2424 CRATER LAKE HIGHWAY
MEDFORD, OR 97504
Pharmacy Comments
Contract Details
Approval Date
4/28/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William North, CEO
(541) 842-7706
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/28/2014
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