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FRANCISCAN PHARMACY TACOMA
DSH500108 ST. JOSEPH MEDICAL CENTER
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Covered Entity Details
Entity Name
ST. JOSEPH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500108
Entity Address
1717 SOUTH J STREET
TACOMA, WA 98405
Medicare Provider Number
500108
Participating Start Date
4/1/2005
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
FRANCISCAN PHARMACY TACOMA
Pharmacy Address
1608 S J ST
MS 35-02
TACOMA, WA 98405-4930
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/11/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mike Fitzgerald, CFO
(253) 680-4005
Contract Pharmacy Representative
CHI Franciscan Health
Olga Maslova, Ambulatory Services Market Manager
(253) 426-6209
Signed By Date
4/13/2020
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