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APOLLO PHARMACY GROUP, INC.
CH10310H 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
Sutherlin Clinic
Type
HRSA-Funded Health Center
340B ID
CH10310H
Entity Address
775 Taylor Street
Sutherlin, OR 97479-9812
Grant Number
H80CS00567
Participating Start Date
7/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
APOLLO PHARMACY GROUP, INC.
Pharmacy Address
DBA SUTHERLIN DRUG
113 E. CENTRAL AVE.
SUTHERLIN, OR 97479
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
Apollo Pharmacy Group
Allen B Reece, PIC
(541) 459-2712
Signed By Date
10/13/2023
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