340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FRED MEYER INC
CH10123T VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Print
Covered Entity Details
Entity Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
Virginia Garcia Beaverton Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH10123T
Entity Address
12600 SW CRESCENT ST
BEAVERTON, OR 97005-1693
Grant Number
H80CS00817
Participating Start Date
4/1/2017
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
FRED MEYER INC
Pharmacy Address
DBA FRED MEYER
15995 S.W. WALKER ROAD
BEAVERTON, OR 97006-4944
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
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/13/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session