Contract Pharmacy Details

WALGREEN CO.
CH101020 Sea Mar Community Health Centers

Covered Entity Details

Entity Name

Sea Mar Community Health Centers

Subdivision Name

Sea Mar CHC - Administration

Type

HRSA-Funded Health Center

340B ID

CH101020

Entity Address

1040 S. Henderson St.
Seattle, WA 98108

Grant Number

H80CS00445

Participating Start Date

12/1/1992

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #11527
2024 6TH AVE.
TACOMA, WA 98403

Pharmacy Comments

Contract Details

Approval Date

4/12/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/3/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Mary Bartolo, VP, Deputy Director
(206) 763-5277

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

4/12/2016

340B Drug Pricing Program Database