340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SAMARITAN PHARMACY - SWEET HOME
DSH380022 SAMARITAN ALBANY GENERAL HOSPITAL
Print
Covered Entity Details
Entity Name
SAMARITAN ALBANY GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH380022
Entity Address
1046 6TH AVE SW
ALBANY, OR 97321
Medicare Provider Number
380022
Participating Start Date
4/1/2012
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SAMARITAN PHARMACY - SWEET HOME
Pharmacy Address
1289 49TH AVE STE 104
SWEET HOME, OR 97386
Pharmacy Comments
Contract Details
Approval Date
1/10/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DANIEL B. SMITH, VP FINANCE/CFO
(541) 768-5390
Contract Pharmacy Representative
Samaritan Lebanon Community Hospital
Daniel Rackham, Chief Executive Officer
(541) 451-7914
Signed By Date
1/10/2024
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