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BIOPLUS SPECIALTY PHARMACY CA
CH103100 UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
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Covered Entity Details
Entity Name
UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
Subdivision Name
Umpqua Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH103100
Entity Address
150 NE Kenneth Ford Drive
Roseburg, OR 97470
Grant Number
H80CS00567
Participating Start Date
10/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
BIOPLUS SPECIALTY PHARMACY CA
Pharmacy Address
7373 LINCOLN WAY
GARDEN GROVE, CA 92841
Pharmacy Comments
09/10/2014
Contract Details
Approval Date
7/18/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/20/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Leah Woods, Chief Financial Officer
(541) 672-9596 Ext: 120
Contract Pharmacy Representative
The Kroger Co
Amber Kayse, VP, Payor Contracting & Strategy
(513) 698-1875
Signed By Date
7/18/2022
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