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WASHINGTON CVS PHARMACY, L.L.C.
CH10257B COMMUNITY HEALTH ASSOCIATION OF SPOKANE
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Covered Entity Details
Entity Name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Subdivision Name
Valley Clinic
Type
HRSA-Funded Health Center
340B ID
CH10257B
Entity Address
15812 E Indiana Ave
Spokane Valley, WA 99216
Grant Number
H80CS00319
Participating Start Date
1/1/2001
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WASHINGTON CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 16172
9770 N NEWPORT HWY
SPOKANE, WA 99218
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aaron Wilson, CEO
(509) 444-8888
Contract Pharmacy Representative
CVS Health
Jessica Ruehs, Regional Account Executive
(480) 825-4445
Signed By Date
7/15/2019
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