Contract Pharmacy Details

HIRONS DRUG #1
CH10070A WHITE BIRD CLINIC

Covered Entity Details

Entity Name

WHITE BIRD CLINIC

Subdivision Name

WHITE BIRD MEDICAL/DENTAL CLINIC

Type

HRSA-Funded Health Center

340B ID

CH10070A

Entity Address

1400 Mill St
Eugene, OR 97401-4259

Grant Number

H80CS00055

Participating Start Date

10/1/2014

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

HIRONS DRUG #1

Pharmacy Address

185 E 18TH AVE
HIRONS INC
EUGENE, OR 97401-4107

Pharmacy Comments

Contract Details

Approval Date

1/15/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2018
Agreement registered in error

Contacts

Covered Entity Signing Official

Miles Alan Mabray, Executive Coordinator
(530) 228-6899

Contract Pharmacy Representative

Hirons Inc
Stephen D. Hirons, Owner
(541) 342-4995

Signed By Date

1/15/2018

340B Drug Pricing Program Database