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RX MART PHARMACY
FQHC638478 NOOKSACK INDIAN TRIBE OF WASHINGTON
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Covered Entity Details
Entity Name
NOOKSACK INDIAN TRIBE OF WASHINGTON
Subdivision Name
NOOKSACK COMMUNITY HEALTH CLINIC
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638478
Entity Address
2510 Sulwhanon Drive
EVERSON, WA 98247
Grant Number
Participating Start Date
7/1/2002
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
RX MART PHARMACY
Pharmacy Address
300 E SUNSET DR
BELLINGHAM, WA 98225
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/11/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rebecca Crocker, DIRECTOR NOOKSACK HEALTH DEPARTMENT
(360) 966-2106
Contract Pharmacy Representative
Kamal Dhami, Pharmacy manager
(360) 933-1401 Ext: 200
Signed By Date
10/13/2014
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