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OHSU CREEKSIDE PHARMACY
CAH381320-00 Columbia Lutheran Charities DBA Columbia Memorial Hospital
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Covered Entity Details
Entity Name
Columbia Lutheran Charities DBA Columbia Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381320-00
Entity Address
2111 Exchange Street
Astoria, OR 97103-3329
Medicare Provider Number
381320
Participating Start Date
10/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
OHSU CREEKSIDE PHARMACY
Pharmacy Address
8300 SW CREEKSIDE PL
STE 100
BEAVERTON, OR 97008
Pharmacy Comments
Contract Details
Approval Date
10/10/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Zachary Schmitt, Chief Financial Officer
(503) 338-7505
Contract Pharmacy Representative
OHSU
Jennifer Zanon, Director Pharmacy Services; Regulatory Compliance
(503) 418-1286
Signed By Date
10/10/2022
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