340B Drug Pricing Program Database
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CH10253F International Community Health Services (Terminated)
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Main Details
Name
International Community Health Services
Subdivision Name
ICHS Vision Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020914
340B ID
CH10253F
Grant Number
H80CS00437
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/8/2019
Last Recertification Date
2/13/2023
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
ICHS
Lakshmi Deepa Yerram, Chief Medical Officer
(206) 788-3652
Primary Contact
ICHS
Ju Hui Lee, Pharmacy Director
(206) 788-3756
Addresses
Street Address
718 8th Avenue South
Seattle, WA 98104-3006
Billing Address
International Community Health Services
PO BOX 3007
Seattle, WA 98114-3007
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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