340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARVARD AVENUE DRUGS
RRC380027-01 MERCY MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MERCY MEDICAL CENTER
Subdivision Name
OREGON SURGERY CENTER
Type
Rural Referral Center
340B ID
RRC380027-01
Entity Address
2801 NW MERCY DRIVE
ROSEBURG, OR 97471
Medicare Provider Number
380027
Outpatient Facility Provider Number
Participating Start Date
7/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
HARVARD AVENUE DRUGS
Pharmacy Address
PHILIP KASER FAMILY, LLC
1175 W. HARVARD AVE.
ROSEBURG, OR 97471
Pharmacy Comments
Contract Details
Approval Date
11/15/2012
Contract Begin Date
11/15/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/6/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John Kasberger, CFO/CRO
(541) 677-2458
Contract Pharmacy Representative
Phil Kaser, Owner
(541) 672-1961
Signed By Date
10/15/2012
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session