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FRED MEYER INC
CAH501314-00 Ocean Beach Hospital
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Covered Entity Details
Entity Name
Ocean Beach Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501314-00
Entity Address
174 First Ave N
Ilwaco, WA 98624
Medicare Provider Number
501314
Participating Start Date
1/1/2012
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
FRED MEYER INC
Pharmacy Address
DBA FRED MEYER
695 HWY 101
WARRENTON, OR 97146
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry Jay Cohen, CEO
(360) 642-6300
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/14/2022
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