340B Drug Pricing Program Database
BARTELL DRUGS #06959
DSH500064 HARBORVIEW MEDICAL CENTER - information as of 6/2/2025 9:05:54 AM
Covered Entity Details
Entity Name
HARBORVIEW MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500064
Entity Address
325 9TH AVE.
SEATTLE, WA 98104-2499
Medicare Provider Number
500064
Participating Start Date
12/1/1992
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
BARTELL DRUGS #06959
Pharmacy Address
653 156TH AVE NE
BELLEVUE, WA 98007-4823
Pharmacy Comments
Contract Details
Approval Date
7/11/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/6/2021
Ownership change
Contacts
Covered Entity Signing Official
MAUREEN BROOM, Enterprise Finance Officer
(206) 598-5362
Contract Pharmacy Representative
Bartell Drugs
Billy Chow, VP of Operations
(206) 455-1305
Signed By Date
7/11/2018
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