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CH10064AY NEIGHBORCARE HEALTH (Terminated)
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Main Details
Name
NEIGHBORCARE HEALTH
Subdivision Name
Hamilton International Middle School Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009620
340B ID
CH10064AY
Grant Number
H80CS00829
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/28/2015
Last Recertification Date
3/6/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
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
1610 N 41st St
Seattle, WA 98103-8212
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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April 2025
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