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WAL-MART CENTRAL FILL 10-2670
CH102080 One Community Health
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Covered Entity Details
Entity Name
One Community Health
Subdivision Name
One Community Health - Hood River
Type
HRSA-Funded Health Center
340B ID
CH102080
Entity Address
849 Pacific Ave
Hood River, OR 97031-1956
Grant Number
H80CS00426
Participating Start Date
7/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
1/5/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Belinda Batcha, CFO
(541) 308-8363
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
1/5/2017
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