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PHARMACY CORPORATION OF AMERICA
CH10792S LANE COUNTY OREGON
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Covered Entity Details
Entity Name
LANE COUNTY OREGON
Subdivision Name
South Lane Clinic
Type
HRSA-Funded Health Center
340B ID
CH10792S
Entity Address
1275 South River Road STE 200
Cottage Grove, OR 97424-3906
Grant Number
H80CS01443
Participating Start Date
1/1/2025
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PHARMACY CORPORATION OF AMERICA
Pharmacy Address
DBA: PHARMERICA
2411 MARTIN LUTHER KING JR BLVD STE 108
EUGENE, OR 97401
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eve Gray, H&HS Director
(541) 682-3942
Contract Pharmacy Representative
Pharmerica
Cole Mack, Director of Business Development
(971) 563-8219
Signed By Date
4/14/2025
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