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ALBERTSONS LLC
CHC11462-00 LAPINE COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
LAPINE COMMUNITY HEALTH CENTER
Subdivision Name
LaPine Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC11462-00
Entity Address
51600 Huntington Rd
La Pine, OR 97739-9626
Grant Number
H80CS11462
Participating Start Date
10/1/2009
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
SAFEWAY PHARMACY #3553
61155 S HIGHWAY 97
BEND, OR 97702
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Erin M Trapp, CEO
(541) 876-1837
Contract Pharmacy Representative
La Pine Community Health
Jay Flesch, Clinical Pharmacist
(541) 536-3435 Ext: 1728
Signed By Date
1/14/2025
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