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BLW INC
CH10560D Mosaic Community Health
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Covered Entity Details
Entity Name
Mosaic Community Health
Subdivision Name
Prineville Health Center
Type
HRSA-Funded Health Center
340B ID
CH10560D
Entity Address
375 NW Beaver St Ste 101
Prineville, OR 97754-2003
Grant Number
H80CS00270
Participating Start Date
10/1/2006
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
BLW INC
Pharmacy Address
HOMETOWN DRUGS
65 NE OAK ST STE 100
MADRAS, OR 97741-1814
Pharmacy Comments
Contract Details
Approval Date
10/1/2006
Contract Begin Date
10/1/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/14/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/22/2005
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