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WALGREEN CO.
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
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07390
1070 E SUNSET DRIVE
BELLINGHAM, WA 98226-3509
Pharmacy Comments
Contract Details
Approval Date
4/14/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lona Johnson, Health Director
(360) 966-2106
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2015
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