Contract Pharmacy Details

ALBERTSONS LLC
CH10123K VIRGINIA GARCIA MEMORIAL HEALTH CENTER

Covered Entity Details

Entity Name

VIRGINIA GARCIA MEMORIAL HEALTH CENTER

Subdivision Name

Willamina School Based Health Center

Type

HRSA-Funded Health Center

340B ID

CH10123K

Entity Address

1100 NE Oaken Hills Dr
Willamina, OR 97396-2723

Grant Number

H80CS00817

Participating Start Date

7/1/2013

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

ALBERTSONS LLC

Pharmacy Address

SAV-ON PHARMACY #2528
615 SW KECK DRIVE
MCMINNVILLE, OR 97128

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

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

Contract Pharmacy Representative

Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304

Signed By Date

10/13/2023

340B Drug Pricing Program Database