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HEALTHY OPTIONS INC
CAH501338-00 PUBLIC HOSPITAL DISTRICT #4 KING COUNTY WASHINGTON
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Covered Entity Details
Entity Name
PUBLIC HOSPITAL DISTRICT #4 KING COUNTY WASHINGTON
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501338-00
Entity Address
9801 Frontier Ave SE
SNOQUALMIE, WA 98065
Medicare Provider Number
501338
Participating Start Date
7/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
HEALTHY OPTIONS INC
Pharmacy Address
DBA POSTAL PRESCRIPTION SVCS
3500 SE 26TH AVE
PO BOX 2718
PORTLAND, OR 97202
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karyn Luell Denton, COO
(425) 831-2364
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/14/2019
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