Pharmacy Details

CENTRALIA PHARMACY - information as of 6/7/2025 4:52:42 AM

Name
CENTRALIA PHARMACY

Address

417 S TOWER AVE
CENTRALIA, WA 98531

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH101020	Sea Mar Community Health Centers	Sea Mar CHC - Administration	HRSA-Funded Health Center	1040 S. Henderson St.		Seattle	WA	01/01/2021		1/1/2021 12:01 AM
Details	DSH500139	CAPITAL MEDICAL CENTER		Disproportionate Share Hospital	3900 CAPITAL MALL DRIVE SW		OLYMPIA	WA	04/01/2024		4/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			CENTRALIA PHARMACY 417 S TOWER AVE CENTRALIA, WA 98531	9/29/2017 6:44 AM
Details	Comments	Insert				3/21/2017 9:56 AM
Details	Is Deleted	Insert			False	3/21/2017 9:56 AM
Addresses	Pharmacy Address	Insert			CENTRALIA PHARMACY 417 S TOWER AVE CENTRALIA, WA 98531	3/21/2017 9:56 AM
Details	Name	Insert			CENTRALIA PHARMACY	3/21/2017 9:56 AM