Contract Pharmacy Details

LAKE SPOKANE PHARMACY
CH100360 NEW HEALTH PROGRAMS ASSOCIATION

Covered Entity Details

Entity Name

NEW HEALTH PROGRAMS ASSOCIATION

Subdivision Name

N.E.W. HEALTH PROGRAMS

Type

HRSA-Funded Health Center

340B ID

CH100360

Entity Address

509 E Main Ave
Chewelah, WA 99109-8964

Grant Number

H80CS00493

Participating Start Date

7/1/2002

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

LAKE SPOKANE PHARMACY

Pharmacy Address

5919F HIGHWAY 291
STE 5
NINE MILE FALLS, WA 99026-9525

Pharmacy Comments

Contract Details

Approval Date

10/4/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/1/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Adam Clark Jones, CFO
(509) 570-4746

Contract Pharmacy Representative

Lake Spokane Pharmacy
Kevin Herda, Owner
(509) 738-2223

Signed By Date

10/4/2018

340B Drug Pricing Program Database