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CH10064AP NEIGHBORCARE HEALTH (Terminated)
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Main Details
Name
NEIGHBORCARE HEALTH
Subdivision Name
Neighborcare Health at Roxhill Elementary
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012708
340B ID
CH10064AP
Grant Number
H80CS00829
Additional Details
Current Program Status
Terminated
Registration Date
4/2/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/11/2014
Last Recertification Date
3/6/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Neighborcare Health
Michael Erikson, Chief Executive Officer
(206) 548-3050
Primary Contact
Neighborcare Health
Kara Styles, Grant Specialist
(206) 548-7540
Addresses
Street Address
9430 30th Ave SW
Seattle, WA 98126-3963
Billing Address
NEIGHBORCARE HEALTH
1200 12th Ave. S
Suite 901
Seattle, WA 98144
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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