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CH10064AZ NEIGHBORCARE HEALTH (Terminated)
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Main Details
Name
NEIGHBORCARE HEALTH
Subdivision Name
Neighborcare Health at Meridian
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014410
340B ID
CH10064AZ
Grant Number
H80CS00829
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/16/2015
Last Recertification Date
3/7/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
MARK SECORD, CEO
(206) 548-3050
Primary Contact
SHANDI LOLAGI, EXECUTIVE ASSISTANT
(206) 548-3005
Addresses
Street Address
10501 MERIDIAN AVE N
SEATTLE, WA 98133-9509
Billing Address
NEIGHBORCARE HEALTH
1200 12TH AVENUE SOUTH
SUITE 901
SEATTLE, WA 98144
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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