340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FRED MEYER PHARMACY #126
CH100150 Siskiyou Community Health Center, Inc.
Print
Covered Entity Details
Entity Name
Siskiyou Community Health Center, Inc.
Subdivision Name
SISKIYOU COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH100150
Entity Address
1701 NW Hawthorne Avenue
Grants Pass, OR 97526-1257
Grant Number
H80CS00369
Participating Start Date
7/1/2007
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
FRED MEYER PHARMACY #126
Pharmacy Address
1101 GRANTS PASS PKWY
GRANTS PASS, OR 97526-2333
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dawn Weber, Chief Executive Officer
(541) 472-4777 Ext: 1155
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
7/2/2024
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