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FRED MEYER INC
CHC24160-07 NEIGHBORHOOD HEALTH CENTER
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CENTER
Subdivision Name
NHC Merlo Station SBHC
Type
HRSA-Funded Health Center
340B ID
CHC24160-07
Entity Address
1841 SW Merlo Drive RM SBHC
Beaverton, OR 97006
Grant Number
H80CS24160
Participating Start Date
7/1/2017
Last Recertification Date
2/19/2025
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
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Blain A. West, CFO / COO
(503) 941-3028
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/14/2024
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