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HOMETOWN DRUGS OF ROSEBURG INC
FQHC638492 COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
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Covered Entity Details
Entity Name
COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
Subdivision Name
COW CREEK HEALTH AND WELLNESS CENTER
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638492
Entity Address
2589 NW Edenbower Blvd
ROSEBURG, OR 97471-6220
Grant Number
Participating Start Date
7/1/2019
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
HOMETOWN DRUGS OF ROSEBURG INC
Pharmacy Address
1813 W HARVARD STREET
SUITE 210
ROSEBURG, OR 97471
Pharmacy Comments
Contract Details
Approval Date
7/1/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sharon Arlene Stanphill, Health Operations Officer
(541) 672-8533 Ext: 5517
Contract Pharmacy Representative
Hometown Drugs of Roseburg
Robert Doug, Owner/Pharmacist
(541) 229-1112
Signed By Date
7/1/2013
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