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THRIFTY PAYLESS, INC.
FQHC638396 PORT GAMBLE S'KLALLAM TRIBE
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Covered Entity Details
Entity Name
PORT GAMBLE S'KLALLAM TRIBE
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638396
Entity Address
32020 LITTLE BOSTON ROAD NE - ADMIN ADDRESS
32020 LITTLE BOSTON ROAD NE - CLINIC ADDRESS
KINGSTON, WA 98346
Grant Number
Participating Start Date
1/1/2001
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6462
27000 MILLER BAY RD NE
KINGSTON, WA 98346
Pharmacy Comments
Contract Details
Approval Date
8/1/2010
Contract Begin Date
8/1/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/12/2010
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