Contract Pharmacy Details

HAGGEN PHARMACY
CH10102E Sea Mar Community Health Centers

Covered Entity Details

Entity Name

Sea Mar Community Health Centers

Subdivision Name

Sea Mar CHC - Everson Hannegan Rd.

Type

HRSA-Funded Health Center

340B ID

CH10102E

Entity Address

6884 Hannegan Rd
Everson, WA 98247

Grant Number

H80CS00445

Participating Start Date

10/1/2001

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

HAGGEN PHARMACY

Pharmacy Address

4545 CORDATA PARKWAY
BELLINGHAM, WA 98226

Pharmacy Comments

Contract Details

Approval Date

11/18/2009

Contract Begin Date

11/18/2009

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/1/2019
Ownership change

Contacts

Covered Entity Signing Official

ROGELIO RIOJAS, CEO
(206) 763-5277

Contract Pharmacy Representative

ANDREW CHARTER, VP
(360) 650-8316

Signed By Date

10/21/2009