340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KP PHARMACY AND MEDICAL SUPPLIES, LLC
CH102530 INTERNATIONAL COMMUNITY HEALTH SERVICES
Print
Covered Entity Details
Entity Name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Subdivision Name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH102530
Entity Address
720 8TH AVENUE SOUTH
SEATTLE, WA 98104-3033
Grant Number
H80CS00437
Participating Start Date
4/1/1995
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
KP PHARMACY AND MEDICAL SUPPLIES, LLC
Pharmacy Address
KP PHARMACY & MEDICAL SUPPLIES LLC
7101 MARTIN LUTHER KING JR WAY S
STE 101B
SEATTLE, WA 98118-3591
Pharmacy Comments
Contract Details
Approval Date
10/4/2022
Contract Begin Date
11/16/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/22/2023
Ownership change
Contacts
Covered Entity Signing Official
Lakshmi Deepa Yerram, Chief Medical Officer
(206) 788-3652
Contract Pharmacy Representative
King Plaza
Trang Tran, PIC
(206) 721-5009
Signed By Date
10/4/2022
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