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PRESCRIPTION PAD PHARMACY - SOUTH
DSH500088 PUBLIC HOSPITAL DISTRICT NO 1 OF KING COUNTY DBA VALLEY MEDICAL CENTER
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Covered Entity Details
Entity Name
PUBLIC HOSPITAL DISTRICT NO 1 OF KING COUNTY DBA VALLEY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500088
Entity Address
400 S 43RD STREET
RENTON, WA 98055-5010
Medicare Provider Number
500088
Participating Start Date
10/4/2005
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
PRESCRIPTION PAD PHARMACY - SOUTH
Pharmacy Address
400 S 43RD ST
RENTON, WA 98055-5714
Pharmacy Comments
Contract Details
Approval Date
8/18/2011
Contract Begin Date
8/18/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/21/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
6/20/2011
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