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WAL-MART PHARMACY 10-2243
CH10560Y Mosaic Community Health
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Covered Entity Details
Entity Name
Mosaic Community Health
Subdivision Name
Kingwood Health Center
Type
HRSA-Funded Health Center
340B ID
CH10560Y
Entity Address
244 NW Kingwood Avenue
Redmond, OR 97756-1812
Grant Number
H80CS00270
Participating Start Date
7/1/2022
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2243
Pharmacy Address
300 NW OAK TREE LANE
REDMOND, OR 97756
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robin Vallie, Pharmacy Operations Manager
(541) 383-3005
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/12/2023
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