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FRED MEYER STORES
CHC08773-00 Unity Care Northwest
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Covered Entity Details
Entity Name
Unity Care Northwest
Subdivision Name
UCNW 220 Unity
Type
HRSA-Funded Health Center
340B ID
CHC08773-00
Entity Address
220 Unity St
Bellingham, WA 98225-4429
Grant Number
H80CS08773
Participating Start Date
1/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
FRED MEYER STORES
Pharmacy Address
800 LAKEWAY DRIVE
BELLINGHAM, WA 98229
Pharmacy Comments
Contract Details
Approval Date
7/14/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Jayne Nelson, Chief Pharmacy Officer
(360) 788-2682
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
7/14/2022
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