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SHOPKO PHARMACY #2794
CH101000 MOSES LAKE COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
MOSES LAKE COMMUNITY HEALTH CENTER
Subdivision Name
MOSES LAKE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH101000
Entity Address
605 S Coolidge St
Moses Lake, WA 98837
Grant Number
H80CS00702
Participating Start Date
1/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SHOPKO PHARMACY #2794
Pharmacy Address
814 13TH AVENUE SW
QUINCY, WA 98848
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sheila Berschauer, CEO
(509) 765-0674 Ext: 2411
Contract Pharmacy Representative
ShopKo
Lorie Neumann, Contracting & Compliance
(920) 429-4726
Signed By Date
7/13/2017
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