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DRUG MART PHARMACY
CH10560C Mosaic Community Health
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Covered Entity Details
Entity Name
Mosaic Community Health
Subdivision Name
East Bend Health Center
Type
HRSA-Funded Health Center
340B ID
CH10560C
Entity Address
2084 NE Professional Ct
BEND, OR 97701
Grant Number
H80CS00270
Participating Start Date
4/1/2006
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
DRUG MART PHARMACY
Pharmacy Address
DRUG MART PHARMACY
51600 HUNTINGTON RD
SUITE A
LA PINE, OR 97739
Pharmacy Comments
Contract Details
Approval Date
4/1/2006
Contract Begin Date
4/1/2006
Carve-In Effective Date
Contract Comments
9/28/09 ADDR UPDATED (WAS 51699 HUNTINGTON ROAD SUITE A)6/25/07 - UPDATED PHARMACY ADDRESS (WAS 57600 HUNTINGTON ROAD SUITE A)
Contract Termination Date
Termination Reason
6/8/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/22/2005
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