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SAMARITAN LEBANON COMMUNITY PHARMACY
CAH381314-00 SAMARITAN PACIFIC HEALTH SERVICES, INC., DBA SAMARITAN PACIFIC COMMUNITIES HOSPITAL
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Covered Entity Details
Entity Name
SAMARITAN PACIFIC HEALTH SERVICES, INC., DBA SAMARITAN PACIFIC COMMUNITIES HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381314-00
Entity Address
930 SW Abbey Street
NEWPORT, OR 97365
Medicare Provider Number
381314
Participating Start Date
8/3/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SAMARITAN LEBANON COMMUNITY PHARMACY
Pharmacy Address
675 N 5TH ST
LEBANON, OR 97355-2875
Pharmacy Comments
Contract Details
Approval Date
4/20/2012
Contract Begin Date
4/20/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Daniel Smith, VP Finance/CFO
(541) 768-5390
Contract Pharmacy Representative
Good Samaritan Regional Medical Center
Penny Reher, Chief Pharmacy Officer
(541) 768-6177
Signed By Date
4/27/2012
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