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LaConner Drug
FQHC638347 SWINOMISH INDIAN TRIBAL COMM
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Covered Entity Details
Entity Name
SWINOMISH INDIAN TRIBAL COMM
Subdivision Name
Swinomish Health Clinics
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638347
Entity Address
17400 RESERVATION ROAD
LA CONNER, WA 98257
Grant Number
Participating Start Date
4/7/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LaConner Drug
Pharmacy Address
708 E. MORRIS ST
PO Box 477
LaConner, WA 98257
Pharmacy Comments
Contract Details
Approval Date
6/11/2012
Contract Begin Date
7/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Brian Cladoosby, Chairman of the Swinomish Indian Tribal Community
(360) 466-3163
Contract Pharmacy Representative
LACONNER DRUG
Aaron Syring, Member
(360) 672-2739
Signed By Date
5/29/2012
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