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OREGON CVS PHARMACY, L.L.C.
CH10792Q LANE COUNTY OREGON
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Covered Entity Details
Entity Name
LANE COUNTY OREGON
Subdivision Name
Mobile Van #1
Type
HRSA-Funded Health Center
340B ID
CH10792Q
Entity Address
3040 N Delta Hwy
Eugene, OR 97408-1636
Grant Number
H80CS01443
Participating Start Date
7/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OREGON CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 16158
2750 GATEWAY ST
SPRINGFIELD, OR 97477
Pharmacy Comments
Contract Details
Approval Date
10/18/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eve Gray, H&HS Director
(541) 682-3942
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/18/2024
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