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DAHISSE INC
CH10310F UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
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Covered Entity Details
Entity Name
UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
Subdivision Name
Myrtle Creek Clinic
Type
HRSA-Funded Health Center
340B ID
CH10310F
Entity Address
790 S Main St
Myrtle Creek, OR 97457-9303
Grant Number
H80CS00567
Participating Start Date
4/1/2009
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
DAHISSE INC
Pharmacy Address
DBA MYRTLE DRUGS
821 S MAIN ST
MYRTLE CREEK, OR 97457
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leah Woods, Chief Financial Officer
(541) 672-9596 Ext: 120
Contract Pharmacy Representative
Dahisse Inc DBA Myrtle Drugs
Michel Daher, Owner
(541) 391-8321
Signed By Date
10/13/2023
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