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WAL-MART PHARMACY 10-1772
CH10291A KLAMATH HEALTH PARTNERSHIP, INC
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Covered Entity Details
Entity Name
KLAMATH HEALTH PARTNERSHIP, INC
Subdivision Name
CHILOQUIN OPEN DOOR FAMILY PRACTICE
Type
HRSA-Funded Health Center
340B ID
CH10291A
Entity Address
103 WASCO STREET
CHILOQUIN, OR 97624
Grant Number
H80CS00233
Participating Start Date
1/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1772
Pharmacy Address
3600 WASHBURN WAY
KLAMATH FALLS, OR 97603
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
Signe Porter, CFO
(541) 851-8110 Ext: 2022
Contract Pharmacy Representative
Klamath Health Partnership, Inc
Marcus Cox, Chief Pharmacy Officer
(541) 887-8188
Signed By Date
10/13/2023
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