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FRED MEYER INC
CH10560F Mosaic Community Health
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Covered Entity Details
Entity Name
Mosaic Community Health
Subdivision Name
Harriman Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH10560F
Entity Address
1128 NW Harriman St
BEND, OR 97703
Grant Number
H80CS00270
Participating Start Date
7/1/2013
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
FRED MEYER INC
Pharmacy Address
DBA FRED MEYER PHARMACY
61535 SOUTH HIGHWAY 97
BEND, OR 97702
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
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
10/12/2023
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