Contract Pharmacy Details

WAL-MART PHARMACY 10-2450
CHC08773-04 Unity Care Northwest

Covered Entity Details

Entity Name

Unity Care Northwest

Subdivision Name

UCNW 1616 Cornwall Avenue

Type

HRSA-Funded Health Center

340B ID

CHC08773-04

Entity Address

1616 Cornwall Ave
Bellingham, WA 98225

Grant Number

H80CS08773

Participating Start Date

7/1/2012

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

WAL-MART PHARMACY 10-2450

Pharmacy Address

4420 MERIDIAN STREET
BELLINGHAM, WA 98226

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

Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498

Signed By Date

7/14/2022

340B Drug Pricing Program Database