Contract Pharmacy Details

BIOPLUS SPECIALTY INFUSION CA, LLC
CH103100 UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health

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 INFUSION CA, LLC

Pharmacy Address

19110 VAN NESS AVE.
TORRANCE, CA 90501

Pharmacy Comments

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

Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850

Signed By Date

7/18/2022

340B Drug Pricing Program Database