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DRUG MART PHARMACY
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
DRUG MART PHARMACY
Pharmacy Address
DRUG MART PHARMACY
51600 HUNTINGTON RD
SUITE A
LA PINE, OR 97739
Pharmacy Comments
Contract Details
Approval Date
10/1/2009
Contract Begin Date
10/1/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHANCE STEFFEY, CEO
(541) 536-3435
Contract Pharmacy Representative
LEAH BISHOP, OWNER PHARMACIST IN CHARGE
(541) 536-1111
Signed By Date
6/17/2009
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