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CH10064AJ NEIGHBORCARE HEALTH (Terminated)
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Main Details
Name
NEIGHBORCARE HEALTH
Subdivision Name
McDermott Place Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009423
340B ID
CH10064AJ
Grant Number
H80CS00829
Additional Details
Current Program Status
Terminated
Registration Date
7/27/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/11/2012
Last Recertification Date
2/17/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Neighborcare Health
Michael Erikson, Chief Executive Officer
(206) 548-3050
Primary Contact
Neighborcare Health
Susan Amberson, Director of Grants & Compliance
(206) 548-3265
Addresses
Street Address
12736 33rd Ave NE
Seattle, WA 98125
Billing Address
Neighborcare Health
1200 12TH AVENUE S
SUITE 901
Seattle, WA 98144
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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