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KETTLE FALLS PHARMACY
CH100360 NEW HEALTH PROGRAMS ASSOCIATION
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Covered Entity Details
Entity Name
NEW HEALTH PROGRAMS ASSOCIATION
Subdivision Name
N.E.W. HEALTH PROGRAMS
Type
HRSA-Funded Health Center
340B ID
CH100360
Entity Address
509 E Main Ave
Chewelah, WA 99109-8964
Grant Number
H80CS00493
Participating Start Date
7/1/2002
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
KETTLE FALLS PHARMACY
Pharmacy Address
280 W 3RD AVE
P.O. BOX 435
KETTLE FALLS, WA 99141
Pharmacy Comments
10/27/2010 - CHANGED STREET NUMBER FROM 230.
Contract Details
Approval Date
4/11/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Bill M. Schanzenbach, CFO
(509) 935-6001 Ext: 220
Contract Pharmacy Representative
Lake Spokane Pharmacy
Kevin Herda, Owner
(509) 738-2223
Signed By Date
4/11/2015
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