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PUBLIC HEALTH
STD988232 GRANT COUNTY HEALTH DISTRICT
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Covered Entity Details
Entity Name
GRANT COUNTY HEALTH DISTRICT
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD988232
Entity Address
1038 West Ivy Ave
Moses Lake, WA 98837
Grant Number
19NH25PS005146
Participating Start Date
1/1/2000
Last Recertification Date
5/29/2024
Pharmacy Details
Pharmacy Name
PUBLIC HEALTH
Pharmacy Address
DOWNTOWN CENTRAL PHARMACY
2124 4TH AVE
SEATTLE, WA 98121
Pharmacy Comments
Contract Details
Approval Date
1/30/2012
Contract Begin Date
1/30/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/12/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
MARK AUBIN, DIRECTOR - STD SERVICES
(360) 236-3467
Contract Pharmacy Representative
Benjamin Leifer, Chief Administrative Officer
(206) 263-8696
Signed By Date
12/9/2011
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