340B Drug Pricing Program Database

Pharmacy Name

OLIVE BRANCH PHARMACY

Pharmacy Address

RED CROSS UNITED DRUG INC
306 W. NORTH ST.
ENTERPRISE, OR 97828

Pharmacy Comments

Approval Date

10/17/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Keli Christman, Authorizing Official
(541) 426-4502 Ext: 5933

Contract Pharmacy Representative

Leah Lester, General Manager
(541) 426-7455

Signed By Date

10/17/2016