340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FRANCISCAN PHARMACY
DSH500141 ST FRANCIS HOSPITAL
Print
Covered Entity Details
Entity Name
ST FRANCIS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500141
Entity Address
34515 NINTH AVENUE S
FEDERAL WAY, WA 98003
Medicare Provider Number
500141
Participating Start Date
4/1/2006
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
FRANCISCAN PHARMACY
Pharmacy Address
34503 9TH AVE S STE 110
MS 23-06
FEDERAL WAY, WA 98003-8726
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2020
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
7/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session