340B Drug Pricing Program Database

Pharmacy Name

FRED MEYER PHARMACY

Pharmacy Address

6495 SE TUALATIN VALLEY HWY
HILLSBORO, OR 97123

Pharmacy Comments

Approval Date

10/13/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Annmarie Rainford Dennis, Corporate Compliance Officer
(503) 214-1652

Contract Pharmacy Representative

Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875

Signed By Date

10/13/2023