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ALBERTSONS LLC
CH10079AC La Clinica Del Valle Family Health Care Center, Inc.
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Covered Entity Details
Entity Name
La Clinica Del Valle Family Health Care Center, Inc.
Subdivision Name
La Clinica School-Based Health Center at Orchard Hill Elementary School
Type
HRSA-Funded Health Center
340B ID
CH10079AC
Entity Address
1011 La Loma Dr Rm 23
Medford, OR 97504-8613
Grant Number
H80CS00759
Participating Start Date
7/1/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
SAV-ON PHARMACY #3593
113 ROSS LANE
MEDFORD, OR 97501
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Traci Fossen, Chief Quality Officer
(541) 512-3912
Contract Pharmacy Representative
Albertsons
Ronald Richmon, Group Director of Managed Care
(630) 948-6285
Signed By Date
1/11/2024
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