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QFC PHARMACY #829
CAH501338-00 PUBLIC HOSPITAL DISTRICT #4 KING COUNTY WASHINGTON
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Covered Entity Details
Entity Name
PUBLIC HOSPITAL DISTRICT #4 KING COUNTY WASHINGTON
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501338-00
Entity Address
9801 Frontier Ave SE
SNOQUALMIE, WA 98065
Medicare Provider Number
501338
Participating Start Date
7/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
QFC PHARMACY #829
Pharmacy Address
460 E. NORTH BEND WAY
NORTH BEND, WA 98045-8270
Pharmacy Comments
Contract Details
Approval Date
4/11/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephen Roy Daniel, CFO
(425) 831-3429
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
4/11/2019
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